Kristina Marie Virata Halloran, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2769 Issued in HI

Practice address

99-128 Aiea Heights Dr Ste 703
Aiea, HI 96701-3978

Phone

(808) 487-7938

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kitagawa Dermatology LLCGroup PAC ID 2163546565, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristina.halloran@48629480423428.direct.elationemr.com

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.

• Kitagawa Dermatology LLC

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1699095232
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1063062834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 703",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013978",
            "telephone_number": "808-487-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 703",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013978",
            "telephone_number": "808-487-7938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3594 Akaka Pl",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968221317",
            "country_code": "US",
            "telephone_number": "808-457-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 N Kuakini St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968172388",
            "country_code": "US",
            "telephone_number": "808-533-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "KRISTINA",
        "middle_name": "MARIE VIRATA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "address_1": "99-128 Aiea Heights Dr Ste 703",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967013978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "address_1": "321 N Kuakini St Ste 610",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968172388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hale Hau'Oli Hawaii
• Alexander James Hall, D.M.D
• Kayla Hall
• Sydney Hall
• Laressa Halladay
• Francis Kazuyoshi Hamada, DDS
• Craig Yoshio Hamasaki, M.D.
• Olga Hamilton, DDS
• Cleonice Malina Toscana Hamm
• Serena M Han, DDS

• Family Nurse Practitioner in Aiea, HI
• Providers in Aiea, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.