LYSTRA IRENE BRAUMULLER (NPI# 1902380413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902380413 |
| Entity Type | Individual |
| Full Name | LYSTRA IRENE BRAUMULLER |
| Credential | RN |
| Practice Address |
480 Central Ave Pearl Harbor HI 96860-4908 |
| Mailing Address |
Potomac Healthcare Solutions 1549 Old Bridge Road Suite 201 Woodbridge VA 22191 |
| Practice Telephone | 8084711866 |
| Practice Fax Number | 8084717855 |
| Mailing Telephone | 7034965321 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 35612 | HI | Other Service Providers |
| Street Address |
480 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| 1720567662 | Corinne Keiko Niiya Ching | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-10 |
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| 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 | 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 |
|---|---|---|---|---|
| 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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| City | PEARL HARBOR |
| Zip Code | 96860 |
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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.