INTEGRATED MEDICINE INSTITUTE, INC. (NPI# 1467086280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467086280 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICINE INSTITUTE, INC. |
| Practice Address |
868 Ululani Street Suite 106 Hilo HI 96720 |
| Mailing Address |
17-384 Ipuaiwaha Street Keaau HI 96749 |
| Practice Telephone | 8086574644 |
| Practice Fax Number | 8084430911 |
| Mailing Telephone | 8086574644 |
| Mailing Fax Number | 8084430911 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | JOANNA ULULANI SMITH (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8086574644 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
868 ULULANI STREET SUITE 106 |
| City | HILO |
| State | HI |
| Zip Code | 96720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 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 |
| 1649721259 | Hawaii Vision Surgical Suites LLC | Clinic/Center | 392 Kapiolani St, Hilo, HI 96720 | 2016-10-18 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589963 | Zachary A. Manlucu | Nurse Practitioner | 56 Kamehameha Ave, Hilo, HI 96720-2831 | 2019-10-16 |
| 1902455462 | Laulea Case Management Agency, LLC | Nurse Practitioner | 1468 Mele Manu St, Hilo, HI 96720-1794 | 2019-09-07 |
| 1396222782 | Mie S Fowler | Nurse Practitioner | 75 Puuhonu Pl Ste 100, Hilo, HI 96720-2000 | 2018-07-27 |
| 1831689959 | Joanna Ululani Smith | Nurse Practitioner | 868 Ululani St Ste 106, Hilo, HI 96720-3913 | 2018-05-14 |
| 1538609201 | Medical Housecalls Hawaii | Nurse Practitioner | 834 Kilauea Ave, Hilo, HI 96720-4215 | 2017-03-01 |
| 1225086887 | Bay Clinic Inc | Nurse Practitioner | 1178 Kinoole St, Hilo, HI 96720-7206 | 2006-05-05 |
| 1952965113 | Nancy Stricklen-juneau | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2019-04-23 |
| 1205303716 | Brenda Lee Orcutt | Nurse Practitioner | 32 Ululani St, Hilo, HI 96720-2933 | 2018-11-01 |
| 1063959062 | Tracy Thornett | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2017-01-27 |
| 1285982876 | Leilani Kerr | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720 | 2012-08-29 |
| Find all providers in HILO | ||||
Please comment or provide details below to improve the information on INTEGRATED MEDICINE INSTITUTE, INC..
| 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.