Kallie Aloma-Peninaolemoana Langford, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN-111705-0 Issued in HI

Practice address

2501 Waimano Home Rd
Pearl City, HI 96782-1478

Phone

(808) 454-1411

Fax

(808) 454-0659

NPI assigned

May 17, 2023

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)

Not enrolled

Credentials

Registered Nurse

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.

• Benchmark Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Pearl City, HI
  • NPI 1346476942
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1780375980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-102 PUUPELE PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445719",
            "telephone_number": "808-485-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WAIMANO HOME RD",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821478",
            "telephone_number": "808-454-1411",
            "fax_number": "808-454-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "KALLIE",
        "middle_name": "ALOMA-PENINAOLEMOANA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "HI",
            "license": "RN-111705-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladimir N. Korolev, L.AC., L.M.T.
• Cindy S. Kubota, DMD
• Kelli Jo Kunihiro, RPH
• Marc Kusaka, MS, RDN, LD
• Carie Kwan, D.C.
• Michael Langford
• Brian KW Lau, DENTIST
• Kristen Lau
• Tracy Lauren Lau
• Dan Rebb Leano

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.