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OLAKINO HEALTH & WELLNESS LLC
NPI 1316722622
Nurse Practitioner in Kailua Kona, HI

Active since August 28, 2023CLIA 12D2293365 · Waiver
75-5699 KOPIKO ST, KAILUA KONA, HI 96740(808) 215-6574(808) 758-0043 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2024, Oct 23, 2023, Aug 28, 2023 (3 updates tracked since 2023).

About Olakino Health & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLAKINO HEALTH & WELLNESS LLC (NPI 1316722622), doing business as Olakino Health & Wellness, is a healthcare organization registered as a nurse practitioner in Kailua Kona, Hawaii and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Anne Chiyeko Broderson, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1316722622
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOLAKINO HEALTH & WELLNESS LLC
Location Address75-5699 KOPIKO STKailua Kona, HI 96740-3651
Mailing AddressPo Box 286Holualoa, HI 96725-0286 · (808) 215-6574 · Fax (808) 758-0043
Phone(808) 215-6574
Fax(808) 758-0043
Organization SubpartNo
Authorized OfficialAnne Chiyeko BrodersonManaging Owner · (808) 215-6574
Enumeration DateAugust 28, 2023
Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1316722622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X
75-5699 KOPIKO ST, Kailua Kona, HI 96740
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Other Names 1

Doing Business AsOlakino Health & Wellness

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2293365

Olakino Health & Wellness LLC · Kailua Kona, HI
Active · expires Nov 6, 2027
CLIA Number12D2293365
Laboratory TypePractitioner Other
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorAnne C. Broderson
Laboratory Phone(808) 215-6574
Laboratory LocationOlakino Health & Wellness LLC75-5699 Kopiko St, Kailua Kona, HI 96740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL EDWARD RICK P.T.
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
JENNY MAE ALAS BUTED PT
Physical Medicine & Rehabilitation
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
ALYSSA KROL PT
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
PAUL SULLIVAN
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
TESS MARIANNA FARISELLI DPT
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
MS. JANE TAMA PT
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-7744
DR. LISA M DI NATALE D.C.
Chiropractor
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 329-5472
DHARTI V SHAH
Physical Therapist
75-5699 KOPIKO ST
KAILUA KONA, HI 96740
Hawaii County (808) 322-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olakino Health & Wellness LLC's NPI number?

The NPI number for Olakino Health & Wellness LLC is 1316722622. It was assigned to this organization in the NPPES registry on August 28, 2023. The provider is doing business as Olakino Health & Wellness.

Where is Olakino Health & Wellness LLC located?

Olakino Health & Wellness LLC is located at 75-5699 Kopiko St, Kailua Kona, HI 96740. The listed phone number is (808) 215-6574.

What is Olakino Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Olakino Health & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2293365) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olakino Health & Wellness LLC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.