WAIMEA PRIMARY CARE LLC
NPI 1417528399
Nurse Practitioner - Primary Care in Kamuela, HI

Q: What is Waimea Primary Care LLC's NPI number?

The NPI number for Waimea Primary Care LLC is 1417528399. It was assigned to this organization in the NPPES registry on July 1, 2021.

Q: What is Waimea Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since July 01, 2021CLIA 12D2241343 · Waiver

65-1298B KAWAIHAE RD STE 3, KAMUELA, HI 96743(808) 731-5003(808) 731-4330 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2025, Jun 16, 2023, Sep 24, 2021 and 1 more (4 updates tracked since 2021).

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About Waimea Primary Care Llc NPPES

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

WAIMEA PRIMARY CARE LLC (NPI 1417528399) is a healthcare organization registered as a primary care in Kamuela, Hawaii and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Carly Kaleo Correa, Owner, as its authorized official.

NPPES Registry Identity

NPI1417528399

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameWAIMEA PRIMARY CARE LLC

Location Address65-1298B KAWAIHAE RD STE 3Kamuela, HI 96743-7342

Mailing Address65-1298b Kawaihae Rd Ste 3Kamuela, HI 96743-7342 · (808) 756-0334 · Fax (808) 731-4330

Phone(808) 731-5003

Fax(808) 731-4330

Organization SubpartNo

Authorized OfficialCarly Kaleo CorreaOwner · (808) 756-0334

Enumeration DateJuly 1, 2021

Last NPPES UpdateOctober 12, 20254 updates tracked since enumeration

NPPES CertifiedOctober 12, 2025

✔ NPI 1417528399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

65-1298B KAWAIHAE RD STE 3, Kamuela, HI 96743

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 12D2241343

Waimea Primary Care, LLC · Kamuela, HI

Active · expires Oct 26, 2027

CLIA Number12D2241343

Laboratory TypePhysician Office

Certificate Effective DateOctober 27, 2025

Certificate Expiration DateOctober 26, 2027

Laboratory DirectorCarly K. Correa

Laboratory Phone(808) 731-5003

Laboratory LocationWaimea Primary Care, LLC65-1298 Kawaihae Road, Suite 3, Kamuela, HI 96743

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CARLY KALEO CORREA APRN-RX

Nurse Practitioner (Family)

65-1298B KAWAIHAE RD STE 3
KAMUELA, HI 96743

Hawaii County (808) 731-5003

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 Waimea Primary Care LLC's NPI number?

The NPI number for Waimea Primary Care LLC is 1417528399. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Waimea Primary Care LLC located?

Waimea Primary Care LLC is located at 65-1298b Kawaihae Rd Ste 3, Kamuela, HI 96743. The listed phone number is (808) 731-5003.

What is Waimea Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Waimea Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2241343) is associated with this NPI, valid through October 26, 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 Waimea Primary Care LLC was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.