Active NPI
Ronny Fujimoto, NP
- Nurse Practitioner
- Kailua, HI
National Provider Identifier
1104961846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-87
- Practice address
- 201 Hamakua Dr
Kailua, HI 96734-3984 - Phone
- (808) 432-3400
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-87 | HI | Primary |
Addresses
Primary practice location
201 Hamakua Dr
Kailua, HI 96734-3984
Mailing address
201 Hamakua Dr
Kailua, HI 96734-3984
Phone (808) 432-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000219857 | Other | HI | HMSA BILLING NUMBER |
| 54954502 | Medicaid | HI |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-87 | HI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1104961846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HAMAKUA DR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967343984",
"telephone_number": "808-432-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HAMAKUA DR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967343984",
"telephone_number": "808-432-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIMOTO",
"first_name": "RONNY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "APRN-87",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000219857",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54954502",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.