Individual provider Active NPI

Leilani Kerr Aldrich, APRN

  • Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1285982876
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1450 Issued in HI
Practice address
45 Mohouli St
Hilo, HI 96720
Phone
(808) 969-6153
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1450 HI Primary

Addresses

Primary practice location

45 Mohouli St
Hilo, HI 96720

Mailing address

45 Mohouli St
Hilo, HI 96720
Phone (808) 969-6153

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140407000816 HI Practitioner - Nurse Practitioner 4981836921 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Urgent Care Center LLC 7 clinicians

Practice addresses (Care Compare)

670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1450HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Wai Ola Medical Clinic LLC CurrentSince Oct 1, 2016 Accepting new patients
Hilo Urgent Care Center, LLC CurrentSince May 1, 2018 Accepting new patients
Pacific Rim Cardiovascular Inc CurrentSince Nov 10, 2014 Accepting new patients
Gastroenterology Associates, Inc CurrentSince Aug 5, 2019 Accepting new patients

Locations

670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609

45 Mohouli St
Hilo, HI 96720
Phone (808) 961-2609

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

385 Hukilike St
Ste 210
Kahului, HI 96732
Phone (808) 871-8346

16-590 Old Volcano Rd
Ste A
Keaau, HI 96749
Phone (808) 430-9790

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

Interoperability endpoints

  • Direct secure messaging: leilani.kerr.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: leilani.kerr@hawaiihie.medicity.net

Organizations & group practices 4

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1285982876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "LEILANI",
        "middle_name": "KERR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.