MS. PHYLAVANH PHANHTHARATH (NPI# 1265965321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265965321 |
| Entity Type | Individual |
| Full Name | MS. PHYLAVANH PHANHTHARATH |
| Credential | ACNS-BC |
| Practice Address |
1190 Waianuenue Ave Hilo HI 96720-2094 |
| Practice Telephone | 8089323000 |
| Mailing Telephone | 8089323000 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | AP133384 | TX | Hospitals |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
APRN-2756 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1190 WAIANUENUE AVE |
| City | HILO |
| State | HI |
| Zip Code | 96720-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672388 | Ninette Hart | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2020 | 2005-07-07 |
| 1144835018 | Chayata Wongpojanee Otsuka | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-09-08 |
| 1447889761 | James Garard Finney | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-07 |
| 1255960159 | Shelley Kirkham | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2094 | 2020-04-03 |
| 1265061352 | Adrianne Haack | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-02 |
| 1154959245 | Laura Hernandez | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1083242192 | Andrew Chang | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1174159834 | Island Professional Anesthesia LLC | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-03-13 |
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1417593831 | Chad Lm Ahia | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598785388 | Rehabilitation Hospital of The Pacific | Rehabilitation Hospital | 226 N Kuakini St, Honolulu, HI 96817-2421 | 2006-07-21 |
Please comment or provide details below to improve the information on MS. PHYLAVANH PHANHTHARATH.
| 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.