MRS. KIMI JO NELSON (NPI# 1548720451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548720451 |
| Entity Type | Individual |
| Full Name | MRS. KIMI JO NELSON |
| Credential | RN |
| Practice Address |
480 Central Ave Pearl Harbor HI 96860 |
| Mailing Address |
480 Central Ave Pearl Harbor HI 96860-4908 |
| Practice Telephone | 8084711866 |
| Mailing Telephone | 8084711866 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN-71443 | HI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 91-1114 Kailipolipo St, Ewa Beach, HI 967066505 | 8083121121 |
| Street Address |
480 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1902380413 | Lystra Irene Braumuller | Case Manager/Care Coordinator | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-20 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| 1720567662 | Corinne Keiko Niiya Ching | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176199 | Maria Josefina Camagan | Registered Nurse | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640869 | Renee Marie Zavala | Registered Nurse | 654 Kaiemi St, Kailua, HI 96734-2015 | 2020-02-10 |
| 1932755915 | Carol J Macdonald | Registered Nurse | 91-2034 Kamakana St, Ewa Beach, HI 96706-6412 | 2019-08-14 |
| 1689220238 | Sheillamari Africa Prepuse | Registered Nurse | 86-218 Leihoku St, Waianae, HI 96792-2957 | 2019-08-09 |
| 1164087581 | Janina M Springer | Registered Nurse | 45-828 Anoi Rd, Kaneohe, HI 96744-3405 | 2019-05-01 |
| 1225692155 | Madison Burk | Registered Nurse | 1066 Pua Aloalo Rd, Kailua, HI 96734-4815 | 2019-04-25 |
| 1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
| 1336507573 | Melissa Walker | Registered Nurse | 1345 S Beretania St, Suite 101, Honolulu, HI 96814-1802 | 2016-02-02 |
| 1619223617 | Transitional Care Partners of Hawaii, Inc. | Registered Nurse | 560 N Nimitz Hwy, Suite 204, Honolulu, HI 96817-5330 | 2012-07-27 |
| 1801065586 | Don Sudara Dona | Registered Nurse | 95-198 Alaalaa Loop, Mililani, HI 96789-1202 | 2008-02-26 |
| 1508844861 | Elton Edward Johnson Jr. | Registered Nurse | 400 Sand Island Pkwy, Uscg, Honolulu, HI 96819-4326 | 2006-01-06 |
| Find all providers with the same taxonomy | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
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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.