Individual provider Active NPI

Maria J Pineda, MSN-APN

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1477781227
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1627 Issued in HI
Practice address
3001 Boxer Rd
Kapolei, HI 96707-2103
Phone
(808) 861-6834
Fax
(808) 536-7315
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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 APRN1627 HI Primary
Nurse Practitioner 363L00000X 001110 NV

Addresses

Primary practice location

3001 Boxer Rd
Kapolei, HI 96707-2103

Mailing address

677 Ala Moana Blvd Ste 1001
Honolulu, HI 96813-5408
Phone (808) 469-4900

Other practice location 1

91-2139 Fort Weaver Rd Ste 101
Ewa Beach, HI 96706-3608
Phone (808) 691-3340

Other names 1

  • Miss Maria J Fajardo Former name

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
I20141208001276 HI Practitioner - Nurse Practitioner 4587821418 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001110NVMDNurse Practitioner
APRN1627HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen's Medical Center CurrentSince Dec 19, 2016 Accepting new patients
The Queens Medical Center CurrentSince Dec 19, 2016 Accepting new patients
West Shore Neurology LLC CurrentSince May 1, 2015 Accepting new patients
University Clinical Education & Research Associates CurrentSince Jan 1, 2018 Accepting new patients
Nenita Bala-Albano MD LLC CurrentSince Nov 25, 2021 Accepting new patients
University Clinical Education & Research Associates CurrentSince Jan 1, 2018 Accepting new patients
Cooperman Barnabas Medical Center Inc PastSince May 18, 2014 Accepting new patients
Nevada State Family Clinic, LLC Family Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

91-2139 Fort Weaver Rd
Ste 101
Ewa Beach, HI 96706
Phone (808) 391-3340

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

3001 Boxer Rd
Kapolei, HI 96707
Phone (808) 305-8400

94-216 Farrington Hwy
Ste 203
Waipahu, HI 96797
Phone (808) 680-0558

Organizations & group practices 9

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1477781227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135408",
            "telephone_number": "808-469-4900",
            "fax_number": "808-536-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BOXER RD",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072103",
            "telephone_number": "808-861-6834",
            "fax_number": "808-536-7315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-2139 Fort Weaver Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967063608",
            "country_code": "US",
            "telephone_number": "808-691-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "MARIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSN-APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1627",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "001110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "FAJARDO",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.