Individual provider Active NPI

Ashley-Rae Nobuko Valledor Fujie-Fukuki, APRN

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1104684596
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-4501 Issued in HI
Practice address
3382 Waialae Ave
Honolulu, HI 96816-2637
Phone
(088) 548-7033
Fax
(808) 548-7034
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-4501 HI Primary

Addresses

Primary practice location

3382 Waialae Ave
Honolulu, HI 96816-2637

Mailing address

27 Alena PL
Hilo, HI 96720-5741
Phone (808) 854-6770

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240819002640 HI Practitioner - Nurse Practitioner 8921546169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Orthopaedics, LLCGroup PAC ID 1850578030, 12 clinicians

Practice addresses (Care Compare)

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-4501HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Orthopaedics, LLC CurrentSince Sep 1, 2024 Accepting new patients
Island Orthopaedics, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

46-001 Kamehameha Hwy
Ste 412
Kaneohe, HI 96744
Phone (808) 548-7033

Organizations & group practices 2

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1104684596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ALENA PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205741",
            "telephone_number": "808-854-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162637",
            "telephone_number": "088-548-7033",
            "fax_number": "808-548-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIE-FUKUKI",
        "first_name": "ASHLEY-RAE",
        "middle_name": "NOBUKO VALLEDOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.