Individual provider Active NPI

Elizabeth Terttu Alonzo, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1639569189
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60675856 Issued in WA
Practice address
45 Mohouli St
Hilo, HI 96720-7210
Phone
(808) 935-3781
Fax
(808) 935-3783
NPI assigned
Feb 4, 2015
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60675856 WA
Gerontology Nurse Practitioner 363LG0600X AP60675856 WA Primary

Addresses

Primary practice location

45 Mohouli St
Hilo, HI 96720-7210

Mailing address

45 Mohouli St
Hilo, HI 96720-7210
Phone (808) 897-5856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180412001860 WA Practitioner - Nurse Practitioner 1456664077 Reassigns benefits to 2 organizations
I20230424002781 HI Practitioner - Nurse Practitioner 1456664077 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60675856WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Wound Care Group LLC CurrentSince Mar 15, 2023 Accepting new patients
Multicare Health System CurrentSince Oct 15, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 26, 2018 Accepting new patients
Multicare Health System CurrentSince Oct 15, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Mar 26, 2018 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

400 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1310

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

1802 Yakima Ave
Ste 204
Tacoma, WA 98405
Phone (206) 383-3325

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1639569189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207210",
            "telephone_number": "808-897-5856",
            "fax_number": "808-935-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207210",
            "telephone_number": "808-935-3781",
            "fax_number": "808-935-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "ELIZABETH",
        "middle_name": "TERTTU",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60675856",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60675856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.