Kealohakuualohakuupo Balaz, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2397 Issued in HI

Practice address

2230 Liliha St Unit 104
Honolulu, HI 96817-1646

Phone

(808) 261-4476

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kokua Kalihi Valley Comprehensive Family Services

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1114074622
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669972030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1901 KAAHUMANU ST APT F",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST UNIT 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-261-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Ulukahiki St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967344439",
            "country_code": "US",
            "telephone_number": "808-261-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAZ",
        "first_name": "KEALOHAKUUALOHAKUUPO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Anne Dilan Balance
• Janine Rose Chang Balantac, RPH
• Amelita Balanza
• Venkataraman Balaraman, M.D.
• Kirill Balatsky
• Angeli Villarin Balbuena
• Arlene Baldillo, D.O.
• Christopher Baldon, BT
• Jazlin Tess Mendoza Baldoz
• Andrew Christian William Baldwin, M.D.

• All providers in Honolulu, HI
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.