Renee Lynn Tesoro Dang, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-613 Issued in HI

Practice address

86-260 Farrington Hwy
Waianae, HI 96792-3128

Phone

(808) 697-3300

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renee.tesorodang.p1@direct.wcchc.nextgenshare.com

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.

• Waianae District Comprehensive Health and Hospital Board, Inc

  dba Waianae Coast Comprehensive Health Center

  • Family Medicine Physician
  • Waianae, HI
  • NPI 1275566424
  Medicare reassignment Care Compare group NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  • Clinical Medical Laboratory
  • Waianae, HI
  • NPI 1083749279
  NPD
• Waianae District Comprehensive Health and Hospital Board, Incorporated

  dba Waianae Elementary School

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1710709365
  NPD
• Liberty Dialysis-Hawaii, LLC

  dba Fresenius Kidney Care Hilo Lanikaula

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hilo, HI
  • NPI 1235854399
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1528283801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-192 MOHAI PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891221",
            "telephone_number": "808-754-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORO DANG",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "0000258426",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA PIN NUMBER",
            "identifier": "8670783",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE PROVIDER NUMBE",
            "identifier": "57802301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tusitala Seuga Taumua
• Chad Thomas Taylor, PSY.D.
• Sariah-Ann Telona
• Kathryn Y Terada, FNP, APRN
• Shyani Terukina
• Richard A Tesoro, DDS
• Tina Tharp
• The Kings Transportation
• Vaughn Thomas
• Kenneth T Thourson, MD

• Family Nurse Practitioner in Waianae, HI
• Providers in Waianae, 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 Jan 6, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.