BRITTANY MARIE KENT KHOTMANIVONG


Address: 1301 Punchbowl St, Honolulu, HI 96813-2402
Phone: 8086918808

BRITTANY MARIE KENT KHOTMANIVONG (NPI# 1578031340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578031340
Entity Type Individual
Full Name BRITTANY MARIE KENT KHOTMANIVONG
Credential AGACNP
Practice Address 1301 Punchbowl St
Honolulu
HI 96813-2402
Practice Telephone 8086918808
Mailing Telephone 8086918808
Enumeration Date 2018-11-08
Last Update Date 2018-11-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
APRN-2563 HI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1301 PUNCHBOWL ST
City HONOLULU
State HI
Zip Code 96813-2402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184612764 The Queen's Medical Center Psychiatric Unit 1301 Punchbowl St, Honolulu, HI 96813 2005-10-07
1104426774 Dana Monday Registered Nurse 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-10-31
1104438654 Jennifer Nguyen Lam Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-08-17
1497371470 Maria Pimenova Pathology 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-06-24
1972125235 Scott Shokichi Amuro Respiratory Therapist, Registered 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-05-09
1407485196 Marvik Vasquez Fernandez Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-04-04
1851927198 Tundra Nicole Weaver Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-03-18
1407487671 Ashley Nicole Aquino Catapang Physician Assistant 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-01-28
1750929253 Cheryl Ann Afuso-sumimoto Clinical Nurse Specialist 1301 Punchbowl St, Honolulu, HI 96813-2499 2019-12-15
1770126658 Ann Frost Physical Therapist 1301 Punchbowl St, Honolulu, HI 96813-2499 2019-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902322 Kawehi Hanohano-navarro Behavior Technician Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 2020-11-03
1659971489 University Clinical Education & Research Associates Clinical Medical Laboratory 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 2020-10-30
1700490919 Tiana Taylor Williams Behavior Technician 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 2020-09-04
1134761109 Florence Kwitonda Behavior Technician 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 2019-10-11
1629629373 Alyssa Niel Gethings Behavior Technician Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 2019-09-24
1851949069 Miho Camarata Behavior Technician Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 2019-08-30
1326696519 Chanelle Ashley Ramos Behavior Technician Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 2019-08-30
1568022580 Fataly Willy Behavioral Analyst 500 Alamoana Blvd #7-400, Honolulu, HI 96813 2019-06-20
1538624069 Galaxy Urgent Care Inc Internal Medicine 50 South Beretania St, C210 B, Honolulu, HI 96813 2019-02-08
1376010124 Queen's Development Corporation and Subsidiaries Clinic/Center 400 Keawe Street, Suite 100, Honolulu, HI 96813 2018-10-30
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982227005 Tam Tran Nurse Practitioner 1441 Kapiolani Blvd Ste 1902, Honolulu, HI 96814-4409 2020-05-22
1326384819 Rolin Yoshiaki Kuba Nurse Practitioner 1717 Mott-smith Dr Apt 2611, Honolulu, HI 96822-2845 2013-01-02
1073759882 Vicky Marquez Crowder Nurse Practitioner 555 S. Beretania St, Ste 601, Honolulu, HI 96813 2008-12-29
1407485196 Marvik Vasquez Fernandez Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-04-04
1851927198 Tundra Nicole Weaver Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2020-03-18
1811532583 Shaun Michael Voss Nurse Practitioner 770 Kapiolani Blvd Ste 705, Honolulu, HI 96813-5241 2019-11-16
1558910364 Kristin Marie Cootey Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2019-09-05
1710549225 Jayme Noriko Lee Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2019-07-04
1871053801 Natasha Olavarria Nurse Practitioner 1301 Punchbowl St, Honolulu, HI 96813-2402 2019-03-25
1083186753 Elaine Yee-lin Lau Nurse Practitioner 1301 Punchbowl St, Neuroscience Institute, Honolulu, HI 96813-2499 2018-12-19
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Competitor

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City HONOLULU
Zip Code 96813

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Dataset Information

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.

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