Maria Johnston Derryberry, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN-1346 Issued in HI

Practice address

65-1158 Mamalahoa Hwy Ste 8a
Kamuela, HI 96743-8442

Phone

(808) 740-5700

Fax

(808) 442-0891

NPI assigned

Apr 26, 2011

Last updated

May 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kupuna Healthcare Services, LLC

  • Adult Health Nurse Practitioner
  • Kamuela, HI
  • NPI 1841873957
  NPD Authorized official
• Hawaii Health Systems Corporation

  dba Yukio Okutsu State Veteran's Home

  • Skilled Nursing Facility
  • Hilo, HI
  • NPI 1477756245
  NPD
• Brighton Rehabilitation LLC

  • Physical Therapist
  • Hilo, HI
  • NPI 1851683213
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1487945317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1158 MAMALAHOA HWY SUITE 8A PMB 157",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438442",
            "telephone_number": "808-740-5700",
            "fax_number": "808-442-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1158 MAMALAHOA HWY STE 8A",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438442",
            "telephone_number": "808-740-5700",
            "fax_number": "808-442-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRYBERRY",
        "first_name": "MARIA",
        "middle_name": "JOHNSTON",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8329",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-1346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa De Vico
• Ronnijean Lehuanani Delenia, PHARMD
• Katelyn Delos Santos
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Susan Derosa, MA, CCC-SLP
• Jamie Leigh Deuchler, NP
• Mihana Diaz
• Erica Lynne Dicosmo, LAC
• Doherty Chiropractic PC
• Edward Doherty

• Adult Health Nurse Practitioner in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Adult Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.