Individual provider Active NPI

Tazialynn Leilani Lynam, APRN

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1699385872
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3022 Issued in HI
Practice address
740 Kilauea Ave
Hilo, HI 96720-4234
Phone
(808) 333-3420
NPI assigned
Aug 3, 2020
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-3022 HI Primary
Registered Nurse 163W00000X 84575 HI

Addresses

Primary practice location

740 Kilauea Ave
Hilo, HI 96720-4234

Mailing address

740 Kilauea Ave
Hilo, HI 96720-4234
Phone (808) 333-3420

Other names 1

  • Tazialynn Leilani Hegarty 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
I20201006001885 HI Practitioner - Nurse Practitioner 7315366689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maika I Health CorporationGroup PAC ID 5597153049, 3 clinicians

Practice addresses (Care Compare)

740 Kilauea Ave
Hilo, HI 96720-4234
Phone (808) 333-3420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84575HIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maika'I Health Corporation CurrentSince Jan 3, 2023 Accepting new patients

Locations

670 Ponahawai St
Ste 206
Hilo, HI 96720
Phone (808) 333-3420

740 Kilauea Ave
Hilo, HI 96720
Phone (808) 333-3420

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEEFCD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1699385872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204234",
            "telephone_number": "808-333-3420",
            "fax_number": "808-333-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204234",
            "telephone_number": "808-333-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNAM",
        "first_name": "TAZIALYNN",
        "middle_name": "LEILANI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3022",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "84575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAZIALYNN",
            "last_name": "HEGARTY",
            "middle_name": "LEILANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.