MRS. ANELLA MARK (NPI# 1609240712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609240712 |
| Entity Type | Individual |
| Full Name | MRS. ANELLA MARK |
| Credential | APRN |
| Practice Address |
39 W Kamehameha Ave Kahului HI 96732-2263 |
| Practice Telephone | 8088772424 |
| Mailing Telephone | 8088772424 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2031 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39 W KAMEHAMEHA AVE |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376626283 | Gerard F. Livaudais | Internal Medicine | 39 W Kamehameha Ave, Kahului, HI 96732-2263 | 2006-10-23 |
| 1962896845 | Josianna Virginia Henson | Anesthesiology | 39 W Kamehameha Ave, Kahului, HI 96732-2263 | 2015-03-27 |
| 1346638970 | Joanne Godley Md Inc | Internal Medicine | 39 W Kamehameha Ave, Kahului, HI 96732-2263 | 2015-01-05 |
| 1508982828 | Joanne Godley | Internal Medicine | 39 W Kamehameha Ave, Suite B, Kahului, HI 96732-2263 | 2007-03-21 |
| 1447392816 | Jarrett Surgery LLC | Specialist | 39 W Kamehameha Ave, Kahului, HI 96732-2263 | 2007-02-13 |
| 1568530632 | Rosalie Jean Schreiber | Registered Nurse | 39 W Kamehameha Ave, Suite B, Kahului, HI 96732-2263 | 2006-11-30 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227005 | Tam Tran | Nurse Practitioner | 1441 Kapiolani Blvd Ste 1902, Honolulu, HI 96814-4409 | 2020-05-22 |
| 1235773011 | Rozlynn Kehaulani Dela Pina | Nurse Practitioner | 91-1021 Kaihi St, Ewa Beach, HI 96706-6223 | 2019-11-04 |
| 1730743956 | Bryan A Johnson | Nurse Practitioner | 94-1221 Ka Uka Blvd # 108-166, Waipahu, HI 96797-6202 | 2019-04-23 |
| 1083163380 | Shelby L Wilcox | Nurse Practitioner | 98-1079 Moanalua Rd Ste 300, Aiea, HI 96701-4722 | 2016-09-27 |
| 1598008849 | Victoria Dennis | Nurse Practitioner | 691 Mopua St, Haiku, HI 96708-5629 | 2013-04-04 |
| 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 |
| 1851413892 | Robin Evalena Caravallo | Nurse Practitioner | 98-1005 Moanalua Rd Spc 4020, Aiea, HI 96701 | 2007-04-03 |
| 1821194127 | Angela Moreschi Woods | Nurse Practitioner | 227 Mahalani St, Wailuku, HI 96793-2526 | 2006-09-15 |
| 1316904709 | Alice E Davis | Nurse Practitioner | 1059 Kilauea Ave Ste A, Hilo, HI 96720-4290 | 2006-04-28 |
| 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.