MEDICARE: ASHLEY CHAE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	APRN-5856	HI
2	163WC0200X	Critical Care Medicine Registered Nurse	304397	NC
3	367500000X	Certified Registered Nurse Anesthetist	0001312591	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	304397	OTHER	NC	NORTH CAROLINA BOARD OF NURSING

General Provider Information

NPI Number	:	1013646496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CHAE RN

Provider Business Mailing Address
First Line	:	145 HOOLAKO PL
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96825-3519
Country	:	US
Telephone Number	:	213-258-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 PUNCHBOWL ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2413
Country	:	US
Telephone Number	:	808-691-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/15/2026

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