| Kelsey Mieko Miyasato-tanioka, DNP, FNP-BC, APRN-RX | |
| 
					86-260 Farrington Hwy, Waianae, HI 96792-3128  | |
| (808) 778-5835 | |
| Not Available | 
| Full Name | Kelsey Mieko Miyasato-tanioka | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 86-260 Farrington Hwy, Waianae, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669188132 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN-96248 (Hawaii) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN-3884 (Hawaii) | Primary | 
| Entity Name | Waianae District Comprehensive Health And Hospital Board, Incorporated | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275566424 PECOS PAC ID: 9931008349 Enrollment ID: O20040105000833  | 
| Entity Name | Jeffrey M Lin Md Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316495013 PECOS PAC ID: 2264720937 Enrollment ID: O20161012001429  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelsey Mieko Miyasato-tanioka, DNP, FNP-BC, APRN-RX 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 697-3800  | Kelsey Mieko Miyasato-tanioka, DNP, FNP-BC, APRN-RX 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 778-5835  | 
Ms. Heather Salvador, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3300  | |
Dr. Sherry Lynn Sutherland-choy, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3469  | |
Razel Alibin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-225-3656  | |
Alessandra Haguihara Luchesi-rife, BSN, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3417 Fax: 808-697-3581  | |
Ms. Dianne Banal Ho, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3794 Fax: 808-697-3626  | |
Mrs. Tina Hualani Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3300  | |
Esther T. Ines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-696-7081  |