Healthcare Provider Details

I. General information

NPI: 1942844485
Provider Name (Legal Business Name): RACHEL ATIS HOPKINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1079 MOANALUA RD STE 655
AIEA HI
96701-4724
US

IV. Provider business mailing address

2340A HOALU PL
HONOLULU HI
96822-2532
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-6200
  • Fax:
Mailing address:
  • Phone: 808-738-7844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142656
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-3927
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: