Individual provider Active NPI

Princess Bautista-Monterey Canida, APRN, FNP-BC

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1265753826
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-5562 Issued in HI
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

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN-75756HIMDMaternal Newborn Registered Nurse
APRN-5562HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heajung Ruesing MD Inc CurrentSince Nov 9, 2025 Accepting new patients
McReynolds Medical Enterprises LLC CurrentSince Nov 9, 2025 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.

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.

Verify at the official NPI Registry.