DEREK NORDSTROM
NPI 1720966989
Student in an Organized Health Care Education/Training Program in Honolulu, HI

Active since August 25, 2025
459 PATTERSON RD, HONOLULU, HI 96819(808) 436-0600 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Nordstrom NPPES

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

DEREK NORDSTROM (NPI 1720966989) is an individual student in an organized health care education/training program in Honolulu, Hawaii and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1720966989
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK NORDSTROM
Location Address459 PATTERSON RDHonolulu, HI 96819-1522
Mailing Address1717 Mott-smith Dr Apt 1908Honolulu, HI 96822-2830
Sole ProprietorYes
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1720966989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
459 PATTERSON RD, Honolulu, HI 96819

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.

Pharmacist
459 PATTERSON RD
HONOLULU, HI 96819
Psychologist (Clinical)
459 PATTERSON RD
HONOLULU, HI 96819
Registered Nurse
459 PATTERSON RD
HONOLULU, HI 96819
Registered Nurse
459 PATTERSON RD
HONOLULU, HI 96819
Registered Nurse
459 PATTERSON RD
HONOLULU, HI 96819
Registered Nurse (Administrator)
459 PATTERSON RD
HONOLULU, HI 96819
Registered Nurse
459 PATTERSON RD
HONOLULU, HI 96819
Psychiatry & Neurology (Psychiatry)
459 PATTERSON RD
HONOLULU, HI 96819

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 Derek Nordstrom's NPI number?

The NPI number for Derek Nordstrom is 1720966989. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Derek Nordstrom located?

Derek Nordstrom practices at 459 Patterson Rd, Honolulu, HI 96819. The listed phone number is (808) 436-0600.

What is Derek Nordstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Nordstrom was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.