Individual provider Active NPI

Myrtle Tumbaga Parel, APRN

  • Pediatric Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1164092516
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN-4071 Issued in HI
Practice address
94-1388 Moaniani St Ste 207
Waipahu, HI 96797-6604
Phone
(808) 677-9988
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X APRN-4071 HI Primary
Registered Nurse 163W00000X RN-81142 HI

Addresses

Primary practice location

94-1388 Moaniani St Ste 207
Waipahu, HI 96797-6604

Mailing address

94-1388 Moaniani St Ste 207
Waipahu, HI 96797-6604
Phone (808) 677-9988

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
I20240109004033 HI Practitioner - Nurse Practitioner 2567813074 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-81142HIMDRegistered Nurse
APRN-4071HIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Pediatrics, Inc. Single Specialty CurrentSince Nov 26, 2023 Accepting new patients

Locations

848 S Beretania St
Ste 400
Honolulu, HI 96813

94-1388 Moaniani St
Ste 207
Waipahu, HI 96797
Phone (808) 677-9988

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1164092516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1388 MOANIANI ST STE 207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976604",
            "telephone_number": "808-677-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1388 MOANIANI ST STE 207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976604",
            "telephone_number": "808-677-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREL",
        "first_name": "MYRTLE",
        "middle_name": "TUMBAGA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "APRN-4071",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-81142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.