SPARK M MATSUNAGA VA MEDICAL CENTER
NPI 1265822506
Nurse Practitioner - Family in Tripler Army Medical Center, HI
NPI Status: Active since January 26, 2015
Contact Information
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI
ZIP 96859
Phone: (808) 748-1341
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 12D0988206
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About SPARK M MATSUNAGA VA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Spark M Matsunaga Va Medical Center, a provider established in Tripler Army Medical Center, Hawaii operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1265822506 assigned on January 2015. The practitioner's primary taxonomy code is 363LF0000X with license number 1831 (HI). The provider is registered as an organization and their NPI record was last updated 10 years ago. Spark M Matsunaga Va Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Spark M Matsunaga Va Medical Center. The authorized official of this NPI record is Meihlani Chynna Lee Aprn-rx, Fnp (Fnp)
- NPI
- 1265822506
- Provider Legal Name
- VA PACIFIC ISLAND HEALTH CARE SYSTEM
- Other Organization Name
- SPARK M MATSUNAGA VA MEDICAL CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER, HI 96859
- Location Phone
- (808) 748-1341
- Mailing Address
- 459 PATTERSON RD HONOLULU, HI 96819
- Mailing Phone
- (808) 748-1341
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2015
- Last Update Date
- 09-10-2015
- Code Navigator
A nurse practitioner (NP) like Spark M Matsunaga Va Medical Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1831
- License State
- HI
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 12D0988206
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 22, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- MIN RO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Spark M Matsunaga Va Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 2 | 2 | 5 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 2 | 4 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 4 + 5 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1265822506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548268188 | DR. MILLARD DALTON BROWN III M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1 JARRETT WHITE RD TAMC, HI 96859 (808) 433-5780 |
| 1952398455 | JOYDIP ROY MD Individual | Hospitalist | 1 JARRETT WHITE RD DEPT OF MEDICINE (MCHK-DM) TRIPLER ARMY MEDICAL CENTER, HI 96859 (808) 433-5720 |
| 1164411872 | MS. MARY STONE CONNOLLY RN Individual | Registered Nurse | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TAMC, HI 96859 (808) 433-2460 |
| 1235128836 | MS. ERIN LEE FUHRMAN RN Individual | Registered Nurse (Medical-Surgical) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1922097112 | LORI ANN FRITZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1 JARRETT WHITE RD ATTN: MCHK-QS TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1679562656 | REGINALD JAMES RUBIN SR. LPN Individual | Licensed Practical Nurse | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1427047455 | DR. ROBERT LOUIS SHEFFLER MD Individual | Internal Medicine (Hematology & Oncology) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER, ATTN:MCHK-QS TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1679563662 | MR. WILLIAM RICHARDSON SPALDING RN Individual | Registered Nurse | 1 JARRETT WHITE RD AMC TAMC, HI 96859 (808) 433-6641 |
| 1932199908 | DR. JOSEPH SERGIO GOMES PINA MD Individual | Internal Medicine (Pulmonary Disease) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TAMC, HI 96859 (808) 433-5720 |
| 1275523250 | DR. JEFFREY L BERENBERG MD Individual | Internal Medicine (Hematology & Oncology) | 1 JARRETT WHITE RD MCHK-DMO, TAMC TAMC, HI 96859 (808) 433-4089 |
| 1922098847 | MRS. CATHERINE MANUEL MACDONALD ARNP Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1104816818 | DR. CHRISTINA BELNAP M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1639169402 | GERARD PASQUALE DELISIO MFT Individual | Marriage & Family Therapist | 1 JARRETT WHITE RD TRIPLER ARMY MEDIAL CENTER ATTN: MCHK-QS TRIPLER AMC, HI 96859 (808) 433-6081 |
| 1386634095 | LISA M LUTE REGISTERED NURSE Individual | Registered Nurse | 1 JARRETT WHITE RD TAMC, HI 96859 (808) 433-3099 |
| 1093705709 | MR. JESSE KENNETH ORTEL MPT, OCS, CERT MDT Individual | Physical Therapist (Orthopedic) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1861482481 | DR. LANCE E CORDONI M.D. Individual | Pediatrics | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1689664161 | DORIS C DONCH RD CNSD Individual | Dietitian, Registered | 1 JARRETT WHITE RD TRIPLER AMC TRIPLER AMC, HI 96859 (808) 433-2386 |
| 1588654065 | PANDY CHING LCSW Individual | Social Worker (Clinical) | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS TRIPLER AMC, HI 96859 (808) 433-2460 |
| 1598755175 | DR. GUY HIDEO TAKAHASHI MD Individual | Radiology (Diagnostic Radiology) | 1 JARRETT WHITE RD TAMC, HI 96859 (808) 433-6669 |
| 1639169378 | MARC HUNT MD Individual | Internal Medicine | 1 JARRETT WHITE RD HONOLULU, HI 96859 (808) 433-6403 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265822506, enumerated in the NPI registry as an "organization" on January 26, 2015
The provider is located at 1 Jarrett White Rd Tripler Army Medical Center, Hi 96859 and the phone number is (808) 748-1341
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 12D0988206 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.