TESA LINDSTROM STARK (NPI# 1740296995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740296995 |
| Entity Type | Individual |
| Full Name | TESA LINDSTROM STARK |
| Credential | CPNP |
| Practice Address |
1887 Makuakane St Medical Services-hale Ola Honolulu HI 96817-1800 |
| Practice Telephone | 8088428075 |
| Mailing Telephone | 8088428075 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1290 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
648059 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1887 MAKUAKANE ST MEDICAL SERVICES-HALE OLA |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020720 | Kenneth S Fink | Family Medicine | 1887 Makuakane St, Honolulu, HI 96817-1800 | 2005-08-19 |
| 1891332771 | Joshua Aliimeaheenalu Auld | Specialist/Technologist | 1887 Makuakane St, Honolulu, HI 96817-1800 | 2019-12-10 |
| 1215403985 | Ben C Joven | Specialist/Technologist | 1887 Makuakane St, Honolulu, HI 96817-1887 | 2018-10-19 |
| 1780134429 | Reid K Takano | Specialist/Technologist | 1887 Makuakane St, Honolulu, HI 96817-1800 | 2016-10-05 |
| 1871519280 | Cynthia Louise Clivio | Specialist/Technologist | 1887 Makuakane St, Honolulu, HI 96817-1800 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
| 1649636853 | Cortney Crocker | Nurse Practitioner | 1302 Queen Emma St, Honolulu, HI 96813-2366 | 2016-01-05 |
| 1073919528 | Emma Elizabeth Holland | Nurse Practitioner | 204 Julian Ave, Honolulu, HI 96818-5109 | 2014-11-11 |
| 1851720502 | Mary Satterfield | Nurse Practitioner | 1803 Kamehameha Iv Rd, Honolulu, HI 96819-2627 | 2013-11-04 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1689862856 | Anne Kinuyo Jinbo | Nurse Practitioner | 420 Kuwili St, Honolulu, HI 96817-5050 | 2007-10-11 |
| 1003016049 | Lorena Marie Fujii | Nurse Practitioner | 3228 Moanalua Road, Honolulu, HI 96819 | 2007-07-18 |
| 1013943455 | Nicole Louise Hodgeboom | Nurse Practitioner | 1401 S Beretania St Ste 950, Honolulu, HI 96814-1874 | 2006-06-25 |
| 1962986679 | Tyler Noel Jansen | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2018-09-18 |
| 1548614043 | Scott Ninomiya | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2016-04-20 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.