Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alysha Delphine Enbom

Individual provider Registered Nurse · NPI 1457100299

Alysha Delphine Enbom is a Nurse Practitioner in Hanapepe, Hawaii. Qualified in 2024, 2 years ago. Practices with Kauai Medical Clinic, a 150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Hawaii, Idaho and Washington.

Years since qualifying
2
Licensed in
HI, ID, WA
In the registry since
2024
Specialties on file
4

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 624
Hanapepe, HI 96716-0624
Phone: (360) 301-5568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1204 N Vercler Rd, Spokane Valley, WA 99216-1020 — (509) 228-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-4642 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 55667 (ID)
Registered Nurse Taxonomy 163W00000X · Licence RN61092439 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 103027 (HI)

Record details

NPI number1457100299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 25, 2024
Mailing addressPo Box 624, Hanapepe, HI 96716-0624

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services