TRACY KEALOHA (NPI# 1821323221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821323221 |
| Entity Type | Individual |
| Full Name | TRACY KEALOHA |
| Practice Address |
95 Mahalani St 19a Wailuku HI 96793-2521 |
| Practice Telephone | 8082447467 |
| Practice Fax Number | 8082425835 |
| Mailing Telephone | 8082447467 |
| Mailing Fax Number | 8082425835 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
95 MAHALANI ST 19A |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033188511 | Victoria Lynn Carman | Social Worker | 95 Mahalani St, Suite A, Wailuku, HI 96793-2521 | 2006-03-16 |
| 1750745899 | Arc of Maui County | Day Training, Developmentally Disabled Services | 95 Mahalani St, Suite 17, Wailuku, HI 96793-2521 | 2016-04-05 |
| 1659774453 | Cara Rand | Case Manager/Care Coordinator | 95 Mahalani St, Suite 19a, Wailuku, HI 96793-2521 | 2014-10-07 |
| 1144648411 | Erin Mcarthur | Case Manager/Care Coordinator | 95 Mahalani St, Wailuku, HI 96793-2521 | 2014-04-02 |
| 1255768560 | Noel J Withers | Nurse Practitioner | 95 Mahalani St, Rm 21, Wailuku, HI 96793-2521 | 2013-10-01 |
| 1134551427 | Haley Callahan | Social Worker | 95 Mahalani St, Wailuku, HI 96793-2521 | 2013-08-08 |
| 1568894848 | Jennifer Zickuhr | Social Worker | 95 Mahalani St, Suite 19a, Wailuku, HI 96793-2521 | 2013-08-08 |
| 1477899391 | Stella Mae Ong | Specialist/Technologist | 95 Mahalani St, 19a, Wailuku, HI 96793-2521 | 2012-12-20 |
| 1851641856 | Alexa Ah Lin Marino | Social Worker | 95 Mahalani St, Suite 19a, Wailuku, HI 96793-2521 | 2012-09-17 |
| 1023367646 | Amanda Elaine Hansen | Specialist/Technologist | 95 Mahalani St, Suite 19 A, Wailuku, HI 96793-2521 | 2012-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205375979 | Beth Quick | Case Manager/Care Coordinator | 270 Hookahi St, Wailuku, HI 96793-1466 | 2017-02-14 |
| 1659774453 | Cara Rand | Case Manager/Care Coordinator | 95 Mahalani St, Suite 19a, Wailuku, HI 96793-2521 | 2014-10-07 |
| 1316359714 | April Saiki | Case Manager/Care Coordinator | 81 N Market St Ste 200, Wailuku, HI 96793-3700 | 2014-05-20 |
| 1144648411 | Erin Mcarthur | Case Manager/Care Coordinator | 95 Mahalani St, Wailuku, HI 96793-2521 | 2014-04-02 |
| 1104151414 | Amy Maeda | Case Manager/Care Coordinator | 95 Mahalani St, #19a, Wailuku, HI 96793-2521 | 2009-10-05 |
| 1740515147 | Kathleen Briley | Case Manager/Care Coordinator | 95 Mahalani St, #19a, Wailuku, HI 96793-2521 | 2009-10-02 |
| 1417183377 | Kristine K Hayashi | Case Manager/Care Coordinator | 95 Mahalani St, 19a Attn; Betsy Scheller, Wailuku, HI 96793-2521 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718614 | Heidi Ilyavi | Case Manager/Care Coordinator | 77-6421 Pualani St, Kailua Kona, HI 96740-9768 | 2020-10-23 |
| 1275131153 | Joan Raeanna Musselman | Case Manager/Care Coordinator | 15 Kulanihakoi St Apt 12e, Kihei, HI 96753-7345 | 2020-10-13 |
| 1275173015 | Sonny Dowling | Case Manager/Care Coordinator | 1282 Kalaniiki St, Honolulu, HI 96821-1206 | 2020-01-09 |
| 1588205603 | Mariah Espaniola | Case Manager/Care Coordinator | 70 Kunihi Ln Apt 433, Kahului, HI 96732-1384 | 2019-09-30 |
| 1770082448 | Dorecca Matasaua Leota | Case Manager/Care Coordinator | 875 Waiamanu St. Suite 612, Honolulu, HI 96813-5248 | 2018-02-07 |
| 1447760509 | Kevin Joseph Quail II | Case Manager/Care Coordinator | 1442 Kewalo St Apt 409, Honolulu, HI 96822-5303 | 2017-10-03 |
| 1194199737 | Bernadette Cabael | Case Manager/Care Coordinator | 94-355 Oililua Pl, Waipahu, HI 96797-1430 | 2015-11-19 |
| 1104206234 | Phoebe Ma'ele | Case Manager/Care Coordinator | 84-757 Kiana Pl Apt 26b, Waianae, HI 96792-1739 | 2015-06-03 |
| 1912397803 | Melissa Echiverri | Case Manager/Care Coordinator | 161 S Wakea Ave, Kahului, HI 96732-1343 | 2015-01-29 |
| 1245641133 | Josephine Sagayaga | Case Manager/Care Coordinator | 1483 Kalauipo St, Pearl City, HI 96782-2033 | 2014-05-13 |
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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.