BOTOX KAILUA LLC
NPI 1841170123
Nurse Practitioner - Family in Kailua, HI

Active since September 05, 2025
1005 KEOLU DR, KAILUA, HI 96734(808) 272-0444 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Botox Kailua Llc NPPES

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

BOTOX KAILUA LLC (NPI 1841170123) is a healthcare organization registered as a family in Kailua, Hawaii and active in the NPI registry since September 2025. The organization lists Brianna Sortland, Owner, as its authorized official.

NPPES Registry Identity

NPI1841170123
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOTOX KAILUA LLC
Location Address1005 KEOLU DRKailua, HI 96734-3873
Mailing Address1005 Keolu DrKailua, HI 96734-3873 · (808) 272-0444
Organization SubpartNo
Authorized OfficialBrianna SortlandOwner · (808) 272-0444
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1841170123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1005 KEOLU DR, Kailua, HI 96734

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Massage Therapist
1005 KEOLU DR
KAILUA, HI 96734
Nurse Practitioner
1005 KEOLU DR
KAILUA, HI 96734
Social Worker (Clinical)
1005 KEOLU DR
KAILUA, HI 96734

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 Botox Kailua LLC's NPI number?

The NPI number for Botox Kailua LLC is 1841170123. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Botox Kailua LLC located?

Botox Kailua LLC is located at 1005 Keolu Dr, Kailua, HI 96734. The listed phone number is (808) 272-0444.

What is Botox Kailua LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Botox Kailua LLC was last updated on September 5, 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.