Vanessa Hulali Eaglin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13368 Issued in HI

Practice address

73 Puuhonu PL
Suite 200
Hilo, HI 96720-2060

Phone

(808) 969-7922

Fax

(808) 934-2037

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Hawaii John a. Burns School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vanessa.eaglin@33558594125828.direct.elationemr.com
• Direct secure messaging: vanessa.eaglin@703269243125764.direct.elationemr.com

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.

• Vanessa H. Eaglin, MD LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hilo, HI
  • NPI 1982472338
  Medicare reassignment NPD Authorized official
• Hilo Family Health Clinic, Inc.

  • Family Medicine Physician
  • Hilo, HI
  • NPI 1861671455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1194931196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL",
            "address_2": "SUITE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-969-7922",
            "fax_number": "808-934-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL",
            "address_2": "SUITE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-969-7922",
            "fax_number": "808-934-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLIN",
        "first_name": "VANESSA",
        "middle_name": "HULALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "13368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Durel
• Selena Reiko May Dye
• Matthew S. Dykema, D.O.
• Dynamic Dao
• Daniel E Gutierrez
• Timothy A Eakins, AT.,C
• East Hawaii Health Pharmacy
• East Hawaii Medical Group
• East Hawaii Rehab, Inc.
• East Hawaii Somatic Healing, Inc.

• Psychiatry Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.