Maria Johnston Derryberry, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Kamuela, HI
NPI 1487945317 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1487945317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN-1346 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kupuna Healthcare Services, LLC | Adult Health | Current |
Accepting new patients |
| Hawaii Health Systems Corporation | Current |
Accepting new patients | |
| Brighton Rehabilitation LLC | Past |
Accepting new patients |
Locations
1180 Waianuenue Ave
Hilo, HI 96720
Phone (808) 961-1500
206 N 2100 W
Slc, UT 84116
Phone (801) 532-4120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP8329 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN-1346 | HI | Yes |
Addresses
Primary practice location
65-1158 Mamalahoa Hwy Ste 8a
Kamuela, HI 96743-8442
Mailing address
65-1158 Mamalahoa Hwy Suite 8a PMB 157
Kamuela, HI 96743-8442
Phone (808) 740-5700
Other providers in Kamuela, HI
- Melissa De Vico
- Ronnijean Lehuanani Delenia
- Katelyn Delos Santos
- Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
- Susan Derosa
- Jamie Leigh Deuchler
- Mihana Diaz
- Erica Lynne Dicosmo
- Doherty Chiropractic PC
- Edward Doherty
All providers in Kamuela, HI · Adult Health Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.