Active NPI
Malia Lewis Keolanui, APRN
- Nurse Practitioner
- Hilo, HI
National Provider Identifier
1558870600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2326
- Practice address
- Gastroenterology Assos. 134 Puuhonu PL PL
Hilo, HI 96720 - Phone
- (808) 329-0111
- Fax
- (808) 365-5811
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2326 | HI | |
| Nurse Practitioner | 363L00000X | 2326 | HI | Primary |
Addresses
Primary practice location
Gastroenterology Assos. 134 Puuhonu PL PL
Hilo, HI 96720
Mailing address
27-2470 Kahala PL
Hilo, HI 96720
Phone (808) 640-3466
Other practice location 1
53 S Puunene Ave
101
Kahului, HI 96732
Phone (808) 873-2020
Other names 1
- Malia Vannatta
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 Puuhonu Way
Hilo, HI 96720-2066
Phone (808) 969-3979
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 95.56
- Improvement activities
- 40
- Cost
- 79.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2326 | HI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates, Inc | Current | Accepting new patients |
Locations
134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956
Interoperability endpoints
- malia.vannatta@20467783892996.direct.elationemr.com
- malia.vannatta@75163384938500.direct.elationemr.com
Organizations & group practices 2
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.
-
- Specialist
- Hilo, HI
- NPI 1831202787
-
- Pain Medicine (Anesthesiology) Physician
- Kailua Kona, HI
- NPI 1407109085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1558870600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27-2470 KAHALA PL",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-640-3466",
"fax_number": "808-365-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GASTROENTEROLOGY ASSOS. 134 PUUHONU PL PL",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-329-0111",
"fax_number": "808-365-5811"
}
],
"practiceLocations": [
{
"address_1": "53 S Puunene Ave",
"address_2": "101",
"address_purpose": "LOCATION",
"city": "Kahului",
"state": "HI",
"postal_code": "96732",
"country_code": "US",
"telephone_number": "808-873-2020",
"fax_number": "808-446-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEOLANUI",
"first_name": "MALIA",
"middle_name": "LEWIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "HI",
"license": "2326",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "2326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALIA",
"last_name": "VANNATTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.