Individual provider Active NPI

Kryijztoff Novotnaj, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kaneohe, HI
National Provider Identifier
1013856590
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-6103 Issued in HI
Practice address
44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664
Phone
(808) 862-8796
NPI assigned
Mar 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025111513 NM
Psychiatric/Mental Health Registered Nurse 163WP0808X RN825846 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025111513 ID
Psychiatric/Mental Health Registered Nurse 163WP0808X 100559526 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP10059526 OR
Psychiatric/Mental Health Registered Nurse 163WP0808X 999999P ID
Psychiatric/Mental Health Registered Nurse 163WP0808X 113720-0 HI
Psychiatric/Mental Health Registered Nurse 163WP0808X 999999P WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025111513 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025111513 WA
Psychiatric/Mental Health Registered Nurse 163WP0808X 89346 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-6103 HI Primary

Addresses

Primary practice location

44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664

Mailing address

44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664
Phone (808) 862-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
113720-0HIMDPsychiatric/Mental Health Registered Nurse
RN825846NVMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blum Health LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1013856590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-369 KANEOHE BAY DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442664",
            "telephone_number": "808-862-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-369 KANEOHE BAY DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442664",
            "telephone_number": "808-862-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNAJ",
        "first_name": "KRYIJZTOFF",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "2025111513",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "RN825846",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "2025111513",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "100559526",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "APRN-NP10059526",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ID",
            "license": "999999P",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "HI",
            "license": "113720-0",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "999999P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "2025111513",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "2025111513",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "89346",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-6103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.