JENNIFER NILL (NPI# 1508383753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508383753 |
| Entity Type | Individual |
| Full Name | JENNIFER NILL |
| Credential | DNP, FNP-BC |
| Practice Address |
1830 Wells St Ste 103 Wailuku HI 96793-2365 |
| Practice Telephone | (808) 866-5333 |
| Practice Fax Number | 8088665330 |
| Mailing Telephone | 8088665333 |
| Mailing Fax Number | 8088665330 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2307 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572389 | Jennifer Nicole Nill | Dietitian, Registered | 25335 Budde Rd Apt 1026, Spring, TX 77380-2321 | 2020-06-16 |
| Street Address |
1830 WELLS ST STE 103 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846125 | Heidi Sarkozy | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2007-12-05 |
| 1922573971 | The Island Family Surgical Care Center LLC | Surgery | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2018-10-05 |
| 1912480237 | Island Family Surgical Care Center LLC | Surgery | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2018-09-12 |
| 1578058442 | Melford Allan C Lazarte | Nurse Practitioner | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2018-06-24 |
| 1457595720 | Lisa Marie Lombardi | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366980864 | Bryan Chin | Nurse Practitioner | 1935 Main St, Suite 101, Wailuku, HI 96793-1784 | 2017-02-03 |
| 1255768560 | Noel J Withers | Nurse Practitioner | 95 Mahalani St, Rm 21, Wailuku, HI 96793-2521 | 2013-10-01 |
| 1649531112 | Stacey Lyn Prusky | Nurse Practitioner | 1935 Main St, 102, Wailuku, HI 96793-1784 | 2012-05-31 |
| 1699822288 | Xavier J Naranjo | Nurse Practitioner | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1477150837 | Jonathan Keeming Cheng | Nurse Practitioner | 46-304 Ahui Nani Pl, Kaneohe, HI 96744-4054 | 2020-10-07 |
| 1255947685 | Carly Paige Aldag | Nurse Practitioner | 14 Aulike St Apt 804, Kailua, HI 96734-2744 | 2020-09-21 |
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1215541644 | Kristen Ashtley Simon | Nurse Practitioner | 91-1020 Makaike St, Ewa Beach, HI 96706-5111 | 2020-09-02 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1538770631 | Kara Emi Yoshida | Nurse Practitioner | 1516 Hoolehua St, Pearl City, HI 96782-1727 | 2020-08-12 |
| 1750992806 | Tammy M Mckee | Nurse Practitioner | 66-345 Kaamooloa Rd Apt F, Waialua, HI 96791-9702 | 2020-08-12 |
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1588273759 | Terri-ann Davis | Nurse Practitioner | 91-1752 Puhiko St, Ewa Beach, HI 96706-4838 | 2020-07-23 |
| 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.