Individual provider Active NPI

Ryanne L V Nakamoto, NP

  • Nurse Practitioner
  • Aiea, HI
National Provider Identifier
1649327230
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-571 Issued in HI
Practice address
99-902 Moanalua Rd
Halawa Correctional Facility
Aiea, HI 96701-3252
Phone
(808) 485-5186
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-571 HI Primary

Addresses

Primary practice location

99-902 Moanalua Rd
Halawa Correctional Facility
Aiea, HI 96701-3252

Mailing address

99-902 Moanalua Rd
Halawa Correctional Facility
Aiea, HI 96701-3252
Phone (808) 485-5186

Other identifiers 2

IdentifierTypeStateIssuer
53685706MedicaidHI
00C0240543OtherHIHMSA BILLING NUMBER

Other names 1

  • Ryanne L Vierra Former name

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
I20050720000640 HI Practitioner - Nurse Practitioner 2365479466 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince May 26, 2015 Accepting new patients
Straub Clinic & Hospital CurrentSince May 26, 2015 Accepting new patients
Hawai'I DCR Healthcare Division PastSince Feb 23, 2025 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1649327230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-902 MOANALUA RD",
            "address_2": "HALAWA CORRECTIONAL FACILITY",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013252",
            "telephone_number": "808-485-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-902 MOANALUA RD",
            "address_2": "HALAWA CORRECTIONAL FACILITY",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013252",
            "telephone_number": "808-485-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMOTO",
        "first_name": "RYANNE",
        "middle_name": "L V",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53685706",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "00C0240543",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANNE",
            "last_name": "VIERRA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.