Chanel Kapualeialoha Paresa, APRN-RX

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3508 Issued in HI

Practice address

95-230 Halepule PL
Mililani, HI 96789-6579

Phone

(808) 295-5252

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Chanel Paresa Daluddung Other name

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

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1497388060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-230 HALEPULE PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896579",
            "telephone_number": "808-295-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-230 HALEPULE PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896579",
            "telephone_number": "808-295-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARESA",
        "first_name": "CHANEL",
        "middle_name": "KAPUALEIALOHA",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10016974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANEL",
            "last_name": "DALUDDUNG",
            "middle_name": "PARESA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paiko Behavioral Health LLC
• Neal A Palafox, MD
• Rhiannon Palmere
• Jalee Palompo, LCSW
• Maria Lirio B. Palompo
• Eunice Y Park, OTR
• Tyrus Park, RPH
• Victoria Pastrana
• Divyesh R Patel, DMD
• Gail Patingan

• Family Nurse Practitioner in Mililani, HI
• Providers in Mililani, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.