Individual provider Active NPI

Soon-Ja Kaohimaunu, APRN, PMHNP-BC

  • Psychiatry Physician
  • Kamuela, HI
National Provider Identifier
1659937878
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
APRN-3489 Issued in HI
Practice address
65-1206 Mamalahoa Hwy Ste 2-207
Kamuela, HI 96743-7303
Phone
(808) 210-2111
Fax
(866) 592-3149
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X APRN-3489 HI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-3489 HI

Addresses

Primary practice location

65-1206 Mamalahoa Hwy Ste 2-207
Kamuela, HI 96743-7303

Mailing address

PO Box 812
Kamuela, HI 96743-0812
Phone (808) 210-2111

Other practice location 1

928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193
Phone (808) 210-2111

Other names 1

  • Soon-Ja Tyrrell 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
I20220615002708 HI Practitioner - Nurse Practitioner 1254667421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Mountains Hawaii, IncGroup PAC ID 4880817840, 10 clinicians

Practice addresses (Care Compare)

64-1035 Mamalahoa Hwy
Kamuela, HI 96743-8440
Phone (808) 885-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3489HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Healing Center CurrentSince Sep 15, 2024 Accepting new patients
North End Medical Professional Corporation CurrentSince Nov 1, 2019 Accepting new patients
Five Mountains Hawaii, Inc CurrentSince Nov 4, 2024 Accepting new patients

Locations

64-1035 Mamalahoa Hwy
Ste F
Kamuela, HI 96743
Phone (808) 885-5900

2800 NE Goldie St
Ste 102
Oak Harbor, WA 98277
Phone (360) 632-7366

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/17479dfb-b021-49d0-9c8a-9247a410a2a3/

Organizations & group practices 4

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1659937878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430812",
            "telephone_number": "808-210-2111",
            "fax_number": "866-592-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1206 MAMALAHOA HWY STE 2-207",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437303",
            "telephone_number": "808-210-2111",
            "fax_number": "866-592-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Nuuanu Ave Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968175193",
            "country_code": "US",
            "telephone_number": "808-210-2111",
            "fax_number": "866-592-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAOHIMAUNU",
        "first_name": "SOON-JA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "APRN-3489",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOON-JA",
            "last_name": "TYRRELL",
            "credential": "APRN, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.