Individual provider Active NPI

Andrea Leanne Araullo Kono, PA-C

  • Physician Assistant
  • Dededo, GU
National Provider Identifier
1770412751
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
105 Kayen Jose Untalan
Dededo, GU 96929-2493
Phone
(808) 347-8539
NPI assigned
May 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

105 Kayen Jose Untalan
Dededo, GU 96929-2493

Mailing address

PO Box 26875
Barrigada, GU 96921-6875

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1770412751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26875",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969216875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KAYEN JOSE UNTALAN",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969292493",
            "telephone_number": "808-347-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONO",
        "first_name": "ANDREA LEANNE",
        "middle_name": "ARAULLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.