Individual provider Active NPI

Paula Diana/Dianne Somerville, CRNP, APRN

  • Family Nurse Practitioner
  • Wailuku, HI
National Provider Identifier
1699774240
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-1443 Issued in HI
Practice address
1405 Hiahia St
Wailuku, HI 96793-9738
Phone
(724) 556-9760
NPI assigned
Jul 16, 2005
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X TP000371A PA
Family Nurse Practitioner 363LF0000X APRN-1443 HI Primary
Registered Nurse 163W00000X RN-21059 HI
Registered Nurse 163W00000X RN182340L PA

Addresses

Primary practice location

1405 Hiahia St
Wailuku, HI 96793-9738

Mailing address

1405 Hiahia St
Wailuku, HI 96793-9738
Phone (724) 556-9760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-21059HIMDRegistered Nurse
RN182340LPAMDRegistered Nurse
APRN-1443HIMDFamily Nurse Practitioner
TP000371APAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc Past Accepting new patients
Valley Medical Facilities, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1699774240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HIAHIA ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939738",
            "telephone_number": "724-556-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HIAHIA ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939738",
            "telephone_number": "724-556-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "PAULA",
        "middle_name": "DIANA/DIANNE",
        "name_prefix": "Ms.",
        "credential": "CRNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-16",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "TP000371A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1443",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-21059",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN182340L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.