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

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  • 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 11 years ago. Spark M Matsunaga Va Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEIHLANI CHYNNA LEE APRN-RX, FNP

Authorized Official Title
FNP
Authorized Official Phone
(808) 748-1341

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
CHRISTOPHER LUM
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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265822506, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 4 + 5 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1265822506.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Hospitalist
1 JARRETT WHITE RD, DEPT OF MEDICINE (MCHK-DM)
TRIPLER ARMY MEDICAL CENTER, HI 96859
Registered Nurse
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
Registered Nurse (Medical-Surgical)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
Nurse Anesthetist, Certified Registered
1 JARRETT WHITE RD, ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Licensed Practical Nurse
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Internal Medicine (Hematology & Oncology)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, ATTN:MCHK-QS
TRIPLER AMC, HI 96859
Registered Nurse
1 JARRETT WHITE RD, AMC
TAMC, HI 96859
Internal Medicine (Pulmonary Disease)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
Internal Medicine (Hematology & Oncology)
1 JARRETT WHITE RD, MCHK-DMO, TAMC
TAMC, HI 96859
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS
TRIPLER AMC, HI 96859
Pathology (Anatomic Pathology & Clinical Pathology)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
Marriage & Family Therapist
1 JARRETT WHITE RD, TRIPLER ARMY MEDIAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Registered Nurse
1 JARRETT WHITE RD
TAMC, HI 96859
Physical Therapist (Orthopedic)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
Dietitian, Registered
1 JARRETT WHITE RD, TRIPLER AMC
TRIPLER AMC, HI 96859
Social Worker (Clinical)
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
Radiology (Diagnostic Radiology)
1 JARRETT WHITE RD
TAMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD
TAMC, HI 96859
Optometrist
1 JARRETT WHITE RD, OPTOMETRY SERVICE
TRIPLER AMC, HI 96859

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265822506, enumerated 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.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.