Active NPI
Leilani Atienza Ricalde-Saronitman, APRN-RX, FNP-BC
- Family Nurse Practitioner
- Ewa Beach, HI
National Provider Identifier
1366586034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-802
- Practice address
- 91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993 - Phone
- (808) 691-3050
- Fax
- (808) 691-3827
- NPI assigned
- Feb 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-802 | HI | Primary |
Addresses
Primary practice location
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Mailing address
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25594 | Other | HI | HMSA |
| 990073526 | Other | HI | HMAA |
| 574253 | Medicaid | HI |
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 |
|---|---|---|---|
| APRN-802 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kokua Kalihi Valley Comprehensive Family Services | Past | Accepting new patients | |
| Liberty Dialysis-Hawaii, LLC | Past | Accepting new patients | |
| Kokua Kalihi Valley Comprehensive Family Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1114074622
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1952994238
-
dba Fresenius Kidney Care Hilo Lanikaula
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hilo, HI
- NPI 1235854399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1366586034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-2141 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061993",
"telephone_number": "808-691-3050",
"fax_number": "808-691-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-2141 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061993",
"telephone_number": "808-691-3050",
"fax_number": "808-691-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICALDE-SARONITMAN",
"first_name": "LEILANI",
"middle_name": "ATIENZA",
"name_prefix": "Mrs.",
"credential": "APRN-RX, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "25594",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA",
"identifier": "990073526",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574253",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.