Individual provider Active NPI

Donna Kristine Joy Vallejo, APRN, NP

  • Family Nurse Practitioner
  • Kahuku, HI
National Provider Identifier
1447683834
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1572 Issued in HI
Practice address
56-117 Pualalea St
Kahuku, HI 96731-2052
Phone
(808) 293-6236
NPI assigned
Aug 21, 2013
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 APRN1572 HI Primary
Registered Nurse 163W00000X RN69010 HI

Addresses

Primary practice location

56-117 Pualalea St
Kahuku, HI 96731-2052

Mailing address

56-117 Pualalea St
Kahuku, HI 96731-2052
Phone (808) 293-6236

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
I20170222001876 HI Practitioner - Nurse Practitioner 3072897875 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN69010HIMDRegistered Nurse
APRN1572HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kahuku Medical Center Current Accepting new patients
The Wahiawa Center for Community Health CurrentSince Feb 11, 2017 Accepting new patients
Kahuku Medical Center Past Accepting new patients

Locations

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

302 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

Interoperability endpoints

  • Direct secure messaging: donna.vallejo@hawaiihie.medicity.net
  • Direct secure messaging: dvallejo726900@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1447683834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "DONNA KRISTINE JOY",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-02-22",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1572",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN69010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahuku, HI

Sources for this page

Verify at the official NPI Registry.