Active NPI
Ronda Soto, NP
- Adult Health Nurse Practitioner
- Kamuela, HI
National Provider Identifier
1205874146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A0404453
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000024896-3 | Other | HI | HMSA OFFICE SITE |
| 3866653 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| 00A024896-1 | Other | HI | HMSA LIFE CARE CENTER |
| 00B024896-9 | Other | HI | HMSA KONA HOSPITAL LTC |
| 560616-03 | Medicaid | HI | |
| 57614 | Other | HI | MEDICARE |
| 560616-01 | Medicaid | HI | |
| 560616-02 | Medicaid | HI | |
| 56061605 | Medicaid | HI | |
| HMSA | Other | HI | 74-5027A TOMI TOMI DRIVE |
| H101043 | Other | HI | MEDICARE |
| 00D0248965 | Other | HI | HMSA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A0404453 | HI | MD | Adult Health Nurse Practitioner |
| APRN-RX 145 | HI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Health Nurse Practitioner
- Kailua Kona, HI
- NPI 1821223124
-
- Cardiovascular Disease Physician
- Kamuela, HI
- NPI 1821099144
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.