Organization Active NPI

Kaylin Kiani Wong Kaaua, FNP-C, LLC

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1760275937
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KAYLIN KIANI WONG KAAUA, FNP-C, LLC
Practice address
670 Ponahawai St Ste 200
Hilo, HI 96720-7830
Phone
(808) 961-5922
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Kaylin Kiani Wong Kaaua, NPNPI 1114728631
Title
Owner
Phone
(808) 756-7061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

670 Ponahawai St Ste 200
Hilo, HI 96720-7830

Mailing address

178 W Kawailani St
Hilo, HI 96720-5472
Phone (808) 756-7061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251020001755 HI Part B Supplier - Clinic/Group Practice 1153819487 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1760275937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205472",
            "telephone_number": "808-756-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-961-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLIN KIANI WONG KAAUA, FNP-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "KAAUA",
        "authorized_official_first_name": "KAYLIN",
        "authorized_official_middle_name": "KIANI WONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-756-7061",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.