Individual provider Active NPI

Kyle Fuhriman, FNP

  • Community Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1174076897
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
APRN2419 Issued in HI
Practice address
101 Aupuni St Ste Ph1014C
Hilo, HI 96720-4246
Phone
(808) 982-8800
NPI assigned
Jul 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X APRN2419 HI Primary

Addresses

Primary practice location

101 Aupuni St Ste Ph1014C
Hilo, HI 96720-4246

Mailing address

101 Aupuni St Ste Ph1014C
Hilo, HI 96720-4246
Phone (808) 982-8800

Other practice location 1

74-5620 Palani Rd Ste 101
Kailua Kona, HI 96740-3640
Phone (808) 331-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170810001893 TX Practitioner - Nurse Practitioner 6406135243 Reassigns benefits to 2 organizations
I20190612003199 HI Practitioner - Nurse Practitioner 6406135243 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2419HIMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association Current Accepting new patients
Hawaii Island HIV/AIDS Foundation Community Health CurrentSince Jul 16, 2020 Accepting new patients
Maniilaq Association CurrentSince Jul 5, 2017 Accepting new patients
Maniilaq Association CurrentSince Jul 5, 2017 Accepting new patients
Maniilaq Association Past Accepting new patients
University Clinical Education & Research Associates Past Accepting new patients

Locations

74-5620 Palani Rd
Ste 101
Kailua Kona, HI 96740
Phone (808) 331-8177

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20517/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1174076897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE PH1014C",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204246",
            "telephone_number": "808-982-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE PH1014C",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204246",
            "telephone_number": "808-982-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74-5620 Palani Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403640",
            "country_code": "US",
            "telephone_number": "808-331-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUHRIMAN",
        "first_name": "KYLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "HI",
            "license": "APRN2419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.