Individual provider Active NPI

Ryan Hironaka I, DNP, APRN-RX, FNP-BC

  • Family Nurse Practitioner
  • Waimanalo, HI
National Provider Identifier
1609358662
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2524 Issued in HI
Practice address
41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Phone
(808) 259-7948
Fax
(808) 259-7447
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2524 HI Primary

Addresses

Primary practice location

41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297

Mailing address

41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Phone (808) 259-7948

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204001623 HI Practitioner - Nurse Practitioner 4587901251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-2524HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waimanalo Health Center CurrentSince Jan 2, 2019 Accepting new patients
Waimanalo Health Center Family Past Accepting new patients

Locations

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-7948

41-1347 Kalanianaole Hwy
Ste A
Waimanalo, HI 96795
Phone (808) 259-5466

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-5466

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1609358662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-1347 KALANIANAOLE HWY STE A",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951297",
            "telephone_number": "808-259-7948",
            "fax_number": "808-259-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-1347 KALANIANAOLE HWY STE A",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951297",
            "telephone_number": "808-259-7948",
            "fax_number": "808-259-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRONAKA",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DNP, APRN-RX, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

Verify at the official NPI Registry.