Individual provider Active NPI

Ronda Soto, NP

  • Adult Health Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1205874146
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A0404453 Issued in HI
Practice address
65-1267 Kawaihae Rd
Kamuela, HI 96743-8406
Phone
(808) 887-6410
Fax
(808) 887-6429
NPI assigned
Jun 3, 2006
Last updated
May 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN-RX 145 HI
Adult Health Nurse Practitioner 363LA2200X A0404453 HI Primary

Addresses

Primary practice location

65-1267 Kawaihae Rd
Kamuela, HI 96743-8406

Mailing address

74-5027A Tomi Tomi Drive
Kailua Kona, HI 96740-9626
Phone (808) 987-4506

Other identifiers 12

IdentifierTypeStateIssuer
000024896-3OtherHIHMSA OFFICE SITE
3866653OtherHIUNIVERSITY HEALTH ALLIANC
00A024896-1OtherHIHMSA LIFE CARE CENTER
00B024896-9OtherHIHMSA KONA HOSPITAL LTC
560616-03MedicaidHI
57614OtherHIMEDICARE
560616-01MedicaidHI
560616-02MedicaidHI
56061605MedicaidHI
HMSAOtherHI74-5027A TOMI TOMI DRIVE
H101043OtherHIMEDICARE
00D0248965OtherHIHMSA

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A0404453HIMDAdult Health Nurse Practitioner
APRN-RX 145HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Cardiology, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1205874146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-5027A TOMI TOMI DRIVE",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409626",
            "telephone_number": "808-987-4506",
            "fax_number": "808-326-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1267 KAWAIHAE RD",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438406",
            "telephone_number": "808-887-6410",
            "fax_number": "808-887-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "RONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-RX 145",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "A0404453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA OFFICE SITE",
            "identifier": "000024896-3",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANC",
            "identifier": "3866653",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA LIFE CARE CENTER",
            "identifier": "00A024896-1",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA KONA HOSPITAL LTC",
            "identifier": "00B024896-9",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560616-03",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "57614",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560616-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560616-02",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56061605",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "74-5027A TOMI TOMI DRIVE",
            "identifier": "HMSA",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H101043",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00D0248965",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.