CHRISTINA KONOMI COLLAZO (NPI# 1891307245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891307245 |
| Entity Type | Individual |
| Full Name | CHRISTINA KONOMI COLLAZO |
| Practice Address |
Naval Health Clinic Hawaii 480 Central Avenue Jbphh HI 96860-4908 |
| Practice Telephone | 8084731880 |
| Mailing Telephone | 8084731880 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2969 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE |
| City | JBPHH |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991970 | Matthew Zachary Thomas | Audiologist | Naval Health Clinic Hawaii, 480 Central Ave. Bldg 1750, Jbphh, HI 96860-4908 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073852265 | Nicole Anne Pries | Nurse Practitioner | 755 Scott Cir, Jbphh, HI 96853-5399 | 2013-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
| 1053860650 | Lindsey Elizabeth Kauimalula Guth | Nurse Practitioner | 871 Lahainaluna Rd, Lahaina, HI 96761-1329 | 2016-09-25 |
| 1649636853 | Cortney Crocker | Nurse Practitioner | 1302 Queen Emma St, Honolulu, HI 96813-2366 | 2016-01-05 |
| 1073919528 | Emma Elizabeth Holland | Nurse Practitioner | 204 Julian Ave, Honolulu, HI 96818-5109 | 2014-11-11 |
| 1306267935 | Bryscen Prothero | Nurse Practitioner | 91-1089 Kaiko St, Ewa Beach, HI 96706-6035 | 2013-12-28 |
| 1851720502 | Mary Satterfield | Nurse Practitioner | 1803 Kamehameha Iv Rd, Honolulu, HI 96819-2627 | 2013-11-04 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1831437953 | Tammie Katherine Yukie Napoleon | Nurse Practitioner | 1461 Kuhio Highway, Kapaa, HI 96746-9307 | 2013-01-24 |
| 1336448158 | Jeanette Champeau Leitner | Nurse Practitioner | 30 Aulike St Ste 500, Kailua, HI 96734-2752 | 2011-03-18 |
| 1609107655 | Kaberi K Mozumder | Nurse Practitioner | 120 Makani Rd, Makawao, HI 96768 | 2010-01-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTINA KONOMI COLLAZO.
| 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.