Dr. Mary Jane Amundson , PhD, APRN
Licensed Practical Nurse • Honolulu, HI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Jane Amundson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mary Jane Amundson, PhD, APRN was a registered Licensed Practical Nurse practicing in Honolulu, HI. Throughout an active medical career spanning 17 years, Dr. Amundson provided care at the practice location at 615 PIIKOI ST until profile deactivation on 2025-04-24.
Practice Location & Contact Primary Location
615 Piikoi St
Suite 105
Honolulu, HI 968143116
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Honolulu, HI
Practicing in Honolulu, HI (159 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Behavior Analyst
BACHELORSPSYCHOLOGY
Psychologist
Doctor of Psychology (Psy.D.)
Counselor - Mental Health
Master of Social Work, Master of Science
Student in an Organized Health Care Education/Training Program
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 24, 2025
NPI status registered as active in NPPES database
Registered at 615 PIIKOI ST, SUITE 105, HONOLULU, HI 968143116 (Tel: 8085968433)
Registered at 615 PIIKOI ST, SUITE 105, HONOLULU, HI 968143116 (Tel: 8085968433)
Recorded as MARY JANE AMUNDSON, PH. D., APRN
Licensed Practical Nurse (License #APRN - 11 in HI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
615 Piikoi St, Suite 105
Honolulu, HI 968143116
Phone: 8085968433
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