Individual provider Active NPI

Adeline Rosemary Kline, APRN

  • Family Nurse Practitioner
  • Aiea, HI
National Provider Identifier
1487912689
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2290 Issued in HI
Practice address
99-600 Kulawea St
Aiea, HI 96701-3607
Phone
(808) 861-6837
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60470369 WA
Primary Care Nurse Practitioner 363LP2300X AP60470369 WA
Family Nurse Practitioner 363LF0000X 2290 HI Primary

Addresses

Primary practice location

99-600 Kulawea St
Aiea, HI 96701-3607

Mailing address

677 Ala Moana Blvd Ste 1001
Honolulu, HI 96813-5408
Phone (808) 469-4929

Other practice location 1

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

Other practice location 2

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

Other names 1

  • Rosemary Duffy 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
I20180126001304 HI Practitioner - Nurse Practitioner 4789848417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2290HIMDFamily Nurse Practitioner
AP60470369WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2018 Accepting new patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2018 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

99-600 Kulawea St
Aiea, HI 96701
Phone (808) 861-6837

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

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1487912689",
    "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": "808-469-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-600 KULAWEA ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013607",
            "telephone_number": "808-861-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Ala Moana Blvd Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135408",
            "country_code": "US",
            "telephone_number": "808-469-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 State Ave N",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980304544",
            "country_code": "US",
            "telephone_number": "253-372-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "ADELINE",
        "middle_name": "ROSEMARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60470369",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60470369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "DUFFY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.