DR. SANDRA BOURGETTE-HENRY (NPI# 1407348907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407348907 |
| Entity Type | Individual |
| Full Name | DR. SANDRA BOURGETTE-HENRY |
| Practice Address |
98-1261 Kaonohi St Aiea HI 96701-2845 |
| Practice Telephone | 8083896965 |
| Mailing Telephone | 8083896965 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-2249 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
98-1261 KAONOHI ST |
| City | AIEA |
| State | HI |
| Zip Code | 96701-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1922623578 | Pandora Smith | Nurse Practitioner | 635 Mcgrew Loop, Aiea, HI 96701-4249 | 2020-06-10 |
| 1598309445 | Mai Kinimaka | Nurse Practitioner | 98-741 Kaamilo St, Aiea, HI 96701-3443 | 2019-11-04 |
| 1821523721 | Rowena Fuata | Nurse Practitioner | 98-1079 Moanalua Rd Ste 570, Aiea, HI 96701-4716 | 2017-04-28 |
| 1124445119 | Marianela Ruiz Jacob | Nurse Practitioner | 98-025 Hekaha St Ste 4, Bldg 4, Aiea, HI 96701-4904 | 2014-03-27 |
| 1851720353 | Heather Del Carmen | Nurse Practitioner | 98-1005 Moanalua Rd Spc 400, Aiea, HI 96701-4775 | 2013-11-05 |
| 1487912689 | Adeline Rosemary Kline | Nurse Practitioner | 99-600 Kulawea St, Aiea, HI 96701-3607 | 2012-04-25 |
| 1457978959 | Jamie Kopera Boling | Nurse Practitioner | 98-1247 Kaahumanu St Ste 116, Aiea, HI 96701-5300 | 2020-06-30 |
| 1457977548 | Victoria Monique Yao | Nurse Practitioner | 98-1079 Moanalua Rd Ste 500, Aiea, HI 96701-4794 | 2020-06-24 |
| 1851930937 | Michelle Mcdevitt | Nurse Practitioner | 98-1005 Moanalua Rd Spc 400, Aiea, HI 96701-4775 | 2020-01-06 |
| Find all providers in AIEA | ||||
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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.