Active NPI
Princess Bautista-Monterey Canida, APRN, FNP-BC
- Family Nurse Practitioner
- Hilo, HI
National Provider Identifier
1265753826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-5562
- Practice address
- 868 Ululani St Ste 108
Hilo, HI 96720-3913 - Phone
- (808) 935-2389
- NPI assigned
- Jun 17, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-5562 | HI | Primary |
| Maternal Newborn Registered Nurse | 163WM0102X | RN-75756 | HI |
Addresses
Primary practice location
868 Ululani St Ste 108
Hilo, HI 96720-3913
Mailing address
PO Box 7549
Hilo, HI 96720-8946
Phone (808) 935-2389
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-75756 | HI | MD | Maternal Newborn Registered Nurse |
| APRN-5562 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heajung Ruesing MD Inc | Current | Accepting new patients | |
| McReynolds Medical Enterprises LLC | Current | Accepting new patients |
Locations
868 Ululani St
Ste 108
Hilo, HI 96720
Phone (808) 935-2389
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.
-
- Internal Medicine Physician
- Hilo, HI
- NPI 1245289933
-
- Family Medicine Physician
- Hilo, HI
- NPI 1316776933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1265753826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7549",
"city": "HILO",
"state": "HI",
"postal_code": "967208946",
"telephone_number": "808-935-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 ULULANI ST STE 108",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-935-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANIDA",
"first_name": "PRINCESS",
"middle_name": "BAUTISTA-MONTEREY",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-5562",
"primary": true
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "HI",
"license": "RN-75756",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.