Active NPI
Dianna Fultz
- School Registered Nurse
- Papaikou, HI
National Provider Identifier
1619521697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 91311
- Practice address
- 27-330 Mamalahoa Hwy
Papaikou, HI 96781 - Phone
- (808) 964-9700
- NPI assigned
- Jul 29, 2019
- Last updated
- Jul 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 91311 | HI | Primary |
Addresses
Primary practice location
27-330 Mamalahoa Hwy
Papaikou, HI 96781
Mailing address
11-3765 First St.
Box 806
Volcano, HI 96785
Phone (502) 542-0487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91311 | HI | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1619521697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11-3765 FIRST ST.",
"address_2": "BOX 806",
"city": "VOLCANO",
"state": "HI",
"postal_code": "96785",
"telephone_number": "502-542-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27-330 MAMALAHOA HWY",
"city": "PAPAIKOU",
"state": "HI",
"postal_code": "96781",
"telephone_number": "808-964-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTZ",
"first_name": "DIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "HI",
"license": "91311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papaikou, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.