HYELEE KIM (NPI# 1790190528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790190528 |
| Entity Type | Individual |
| Full Name | HYELEE KIM |
| Credential | PSYCHIATRIC NP |
| Practice Address |
30 Aulike St Ste 308 Kailua HI 96734 |
| Mailing Address |
1246 Akele St Kailua HI 96734-4221 |
| Practice Telephone | 7605831997 |
| Mailing Telephone | 7605831997 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
574628 | CA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95001174 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2189 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1253 Makalapa Gate Rd Bldg 1407, Pearl Harbor, HI 968604479 | 8084730650 | |
| 7192 Kalanianaole Hwy Ste D204b, Honolulu, HI 968251856 | 7605831997 |
| Street Address |
30 AULIKE ST STE 308 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841418548 | Lisa Wai Mui Ambrosino Ho | Psychologist | 30 Aulike St Ste 308, Kailua, HI 96734-2751 | 2007-04-20 |
| 1255786133 | Lisa Ho, Psy.d., LLC | Psychologist | 30 Aulike St Ste 308, Kailua, HI 96734-2751 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777632 | Louella Van Osdol | Nurse Practitioner | 286 Hamakua Dr, Kailua, HI 96734-3917 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862910 | Katelyn Jones | Nurse Practitioner | 615 Piikoi St Ste 1603, Honolulu, HI 96814-3142 | 2018-05-22 |
| 1609382340 | Wellness Partners Hawaii Inc | Nurse Practitioner | 377 Keahole St # 211-c, Honolulu, HI 96825-3405 | 2017-12-18 |
| 1942726708 | Sharilyn Butteling | Nurse Practitioner | 270 Hookahi St Ste 207, Wailuku, HI 96793-1466 | 2017-08-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1861850570 | Theresa Wade, Aprn LLC | Nurse Practitioner | 79-7446 Mamalahoa Hwy, Kealakekua, HI 96750-7913 | 2016-02-09 |
| 1982000766 | Carrie R Baker | Nurse Practitioner | 727 Wainee St Ste 201, Lahaina, HI 96761-1589 | 2014-11-06 |
| 1821406943 | Greywolf Psychiatry Services, Inc | Nurse Practitioner | 91-1019 Kamaaha Ave, 1004, Kapolei, HI 96707-2996 | 2014-08-01 |
| 1114178688 | Diane Meloche Justusson | Nurse Practitioner | 87-1048 Huamoa St, Waianae, HI 96792-3435 | 2008-10-02 |
| 1922208685 | Rebecca Lee Ross | Nurse Practitioner | 615 Piikoi St Ste 2002, Honolulu, HI 96814-3142 | 2007-07-20 |
| 1801962337 | Nidhi Anna Chabora | Nurse Practitioner | 45-3380 Mamane St, Suite #4, Honokaa, HI 96727-6933 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
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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.