JON W. NAKAMURA, M.D., INC. (NPI# 1457785602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457785602 |
| Entity Type | Organization |
| Organization Name | JON W. NAKAMURA, M.D., INC. |
| Practice Address |
4374 Kukui Grove St Suite # 102 Lihue HI 96766-2007 |
| Practice Telephone | 8082466253 |
| Practice Fax Number | 8082457215 |
| Mailing Telephone | 8082466253 |
| Mailing Fax Number | 8082457215 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Authorized Official Name | DR. JON NAKAMURA (PRESIDENT) |
| Authorized Official Telephone | 8082466253 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MD-6950 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 00K009442-1 | 01 |
| Street Address |
4374 KUKUI GROVE ST SUITE # 102 |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790875458 | John Winnes | Social Worker | 4374 Kukui Grove St, Suite 102, Lihue, HI 96766-2007 | 2006-10-13 |
| 1013350099 | Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center | Psychiatry & Neurology | 4374 Kukui Grove St, Ste 104, Lihue, HI 96766-2007 | 2013-04-09 |
| 1215059704 | Jon Nakamura Nakamura | Psychiatry & Neurology | 4374 Kukui Grove St, Suite # 102, Lihue, HI 96766-2007 | 2007-04-04 |
| 1902952385 | Gerald James Mckenna | Psychiatry & Neurology | 4374 Kukui Grove St, Suite 104, Lihue, HI 96766-2007 | 2007-01-26 |
| 1932253796 | Michael Edward Foley | Social Worker | 4374 Kukui Grove St, Suite #102, Lihue, HI 96766-2007 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561301 | Dawn Debra Rumbaoa | Clinic/Center | 1109 Acacia Rd Apt 324, Pearl City, HI 96782-2583 | 2020-06-04 |
| 1366083453 | Resilience Through Choice | Clinic/Center | 1962 Waimano Home Rd, Pearl City, HI 96782-1468 | 2019-10-01 |
| 1144786674 | Illuminate Wellness | Clinic/Center | 151 E Wakea Ave, Kahului, HI 96732-2475 | 2019-02-20 |
| 1396200507 | Alma, Inc. | Clinic/Center | 161 Wailea Ike Pl Ste A105, Wailea, HI 96753-6502 | 2019-02-01 |
| 1710459698 | Dr. Jenny Unno-lee, Ed.d., Lmhc, Ncc, LLC | Clinic/Center | 98-030 Hekaha St Ste 3, Aiea, HI 96701-4900 | 2018-12-18 |
| 1184101107 | Timothy Liu Lmhc Inc | Clinic/Center | 1188 Bishop St Ste 3510, Honolulu, HI 96813-3314 | 2018-07-23 |
| 1508358607 | Social Context Therapy & Consultation | Clinic/Center | 41-038 Wailea St Ste A, Waimanalo, HI 96795-1671 | 2018-06-04 |
| 1770074031 | Ess Counseling LLC | Clinic/Center | 94-615 Kahakea St Apt 10c, Waipahu, HI 96797-1146 | 2018-05-22 |
| 1508360058 | Empower Mental Health LLC | Clinic/Center | 555 South St Apt 907, Honolulu, HI 96813-5040 | 2018-03-20 |
| 1184153397 | Central Oahu Hope Center LLC | Clinic/Center | 100 Kahelu Ave Ste 210, Mililani, HI 96789-3913 | 2017-06-09 |
| 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.