MS. EDNA JOAN SMITH (NPI# 1578692034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578692034 |
| Entity Type | Individual |
| Full Name | MS. EDNA JOAN SMITH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
87-601 Manuu St Waianae HI 96792-3234 |
| Practice Telephone | 8082825607 |
| Mailing Telephone | 8082825607 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN 491 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
491 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194830216 | Edna Karleen Smith | Registered Nurse | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| Street Address |
87-601 MANUU ST |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114178688 | Diane Meloche Justusson | Nurse Practitioner | 87-1048 Huamoa St, Waianae, HI 96792-3435 | 2008-10-02 |
| 1164032884 | Caring Options LLC | Nurse Practitioner | 86-226 Farrington Hwy, Waianae, HI 96792-3128 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777632 | Louella Van Osdol | Nurse Practitioner | 286 Hamakua Dr, Kailua, HI 96734-3917 | 2019-12-16 |
| 1659862910 | Katelyn Jones | Nurse Practitioner | 615 Piikoi St Ste 1603, Honolulu, HI 96814-3142 | 2018-05-22 |
| 1609382340 | Wellness Partners Hawaii Inc | Nurse Practitioner | 377 Keahole St # 211-c, Honolulu, HI 96825-3405 | 2017-12-18 |
| 1942726708 | Sharilyn Butteling | Nurse Practitioner | 270 Hookahi St Ste 207, Wailuku, HI 96793-1466 | 2017-08-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1861850570 | Theresa Wade, Aprn LLC | Nurse Practitioner | 79-7446 Mamalahoa Hwy, Kealakekua, HI 96750-7913 | 2016-02-09 |
| 1982000766 | Carrie R Baker | Nurse Practitioner | 727 Wainee St Ste 201, Lahaina, HI 96761-1589 | 2014-11-06 |
| 1821406943 | Greywolf Psychiatry Services, Inc | Nurse Practitioner | 91-1019 Kamaaha Ave, 1004, Kapolei, HI 96707-2996 | 2014-08-01 |
| 1922208685 | Rebecca Lee Ross | Nurse Practitioner | 615 Piikoi St Ste 2002, Honolulu, HI 96814-3142 | 2007-07-20 |
| 1801962337 | Nidhi Anna Chabora | Nurse Practitioner | 45-3380 Mamane St, Suite #4, Honokaa, HI 96727-6933 | 2006-11-27 |
| 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.