Individual provider Active NPI

Nyra Keziah Amaro Hebrio

  • Gerontology Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1194542506
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN-4755 Issued in HI
Practice address
820 Mililani St Ste 400
Honolulu, HI 96813-2934
Phone
(808) 210-8209
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN-4755 HI Primary

Addresses

Primary practice location

820 Mililani St Ste 400
Honolulu, HI 96813-2934

Mailing address

3009 Ala Makahala PL Apt 715
Honolulu, HI 96818-7605
Phone (808) 226-0666

Other names 1

  • Nyra Keziah Hebrio Morante Former name

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
I20250430003179 HI Practitioner - Nurse Practitioner 6204352404 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
Islands Hospice, Inc.Group PAC ID 1254494172, 2 clinicians

Practice addresses (Care Compare)

Honolulu, HI 96813
Phone (808) 550-2552

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Islands Hospice, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Milestones CurrentSince Sep 29, 2024 Accepting new patients

Locations

12680 High Bluff Dr
Ste 150
San Diego, CA 92130

820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552

149 Maa St
Ste 100
Kahului, HI 96732
Phone (808) 856-8989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1194542506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 ALA MAKAHALA PL APT 715",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968187605",
            "telephone_number": "808-226-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MILILANI ST STE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132934",
            "telephone_number": "808-210-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBRIO",
        "first_name": "NYRA KEZIAH",
        "middle_name": "AMARO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-4755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYRA KEZIAH",
            "last_name": "MORANTE",
            "middle_name": "HEBRIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.