Individual provider Active NPI

Rachell Lynn Malamed, NP-C

  • Family Nurse Practitioner
  • Kailua Kona, HI
National Provider Identifier
1366127391
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4087 Issued in HI
Practice address
75-184 Hualalai Rd Ste 302
Kailua Kona, HI 96740-1719
Phone
(808) 322-0111
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-4087 HI Primary

Addresses

Primary practice location

75-184 Hualalai Rd Ste 302
Kailua Kona, HI 96740-1719

Mailing address

87-3216 Carissa Rd
Captain Cook, HI 96704-8721
Phone (808) 756-0706

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
I20230718003321 HI Practitioner - Nurse Practitioner 4486014776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MF Med Inc CurrentSince Jul 1, 2023 Accepting new patients
Paniolo Pediatric and Family Medicine Inc PastSince Jun 1, 2018 Accepting new patients

Locations

33 Lono Ave
Ste 240
Kahului, HI 96732
Phone (808) 873-2020

75-184 Hualalai Rd
Ste 302
Kailua Kona, HI 96740
Phone (808) 329-0111

100 Kahelu Ave
Ste 105
Mililani, HI 96789
Phone (808) 329-0111

Interoperability endpoints

  • Direct secure messaging: rachell.malamed@20467783892996.direct.elationemr.com

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1366127391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-3216 CARISSA RD",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967048721",
            "telephone_number": "808-756-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-184 HUALALAI RD STE 302",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401719",
            "telephone_number": "808-322-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMED",
        "first_name": "RACHELL",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.