NICOLE BRASHEAR (NPI# 1609199025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609199025 |
| Entity Type | Individual |
| Full Name | NICOLE BRASHEAR |
| Other Name | NICOLE MALDEN |
| Practice Address |
165 Maa St Kahului HI 96732-3603 |
| Practice Telephone | 8084467120 |
| Practice Fax Number | 8084467121 |
| Mailing Telephone | 8084467120 |
| Mailing Fax Number | 8084467121 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-64554 | HI | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APRN-1271 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HI LIC.-APRN | APRN-1274 | 01 |
| HI | RN LIC | RN-64554 | 01 |
| Street Address |
165 MAA ST |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669401295 | Adele Oneill | Advanced Practice Midwife | 165 Maa St, Kahului, HI 96732-3603 | 2006-07-03 |
| 1558744177 | Trina Chakravarty | Obstetrics & Gynecology | 165 Maa St, Kahului, HI 96732-3603 | 2015-06-30 |
| 1427491851 | Maui Lani Physicians and Surgeons LLC | Obstetrics & Gynecology | 165 Maa St, Kahului, HI 96732-3603 | 2013-04-16 |
| 1083837942 | Kathleen Anneke | Physician Assistant | 165 Maa St, Kahului, HI 96732-3603 | 2007-04-10 |
| 1760518310 | Christy Ann Takemoto | Obstetrics & Gynecology | 165 Maa St, Kahului, HI 96732-3603 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114327780 | Bernard Gordon Mcpherson | Nurse Practitioner | 890 Kamokila Blvd Ste 102, Kapolei, HI 96707-2022 | 2014-09-02 |
| 1710392188 | Luisa Lucero | Nurse Practitioner | 642 Ulukahiki St, Ste 209, Kailua, HI 96734-4400 | 2014-06-24 |
| 1770603037 | Sidney Q Macaw | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-03-30 |
| 1609937994 | Sharon Skouge | Nurse Practitioner | 915 N King St, Honolulu, HI 96817-4544 | 2006-12-12 |
| 1477642494 | Constance Conover | Nurse Practitioner | 915 N King St, Honolulu, HI 96817-4544 | 2006-10-11 |
| 1942393806 | Rebecca Q. Correa | Nurse Practitioner | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2006-10-02 |
| 1144321423 | Robin E Ramsay | Nurse Practitioner | 65-1267 Kawaihae Rd, Kamuela, HI 96743-8406 | 2006-09-26 |
| 1346340932 | Patricia A Bourke | Nurse Practitioner | 65-1267 Kawaihae Rd, Kamuela, HI 96743-8406 | 2006-09-23 |
| 1275516270 | Norma Elaine Fuqua | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2005-11-22 |
Please comment or provide details below to improve the information on NICOLE BRASHEAR.
| 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.