Active NPI
Kona NPS LLC
- Adult Health Nurse Practitioner
- Kailua Kona, HI
National Provider Identifier
1821223124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN 677
- Legal business name
- KONA NPS LLC
- Practice address
- 74-5027 Tomi Tomi Dr # a
Kailua Kona, HI 96740-8114 - Phone
- (808) 987-4506
- Fax
- (808) 326-9071
- NPI assigned
- May 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronda K Soto, NP
- Title
- Member Owner
- Phone
- (808) 987-4506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN 677 | HI | Primary |
Addresses
Primary practice location
74-5027 Tomi Tomi Dr # a
Kailua Kona, HI 96740-8114
Mailing address
74-5027 Tomi Tomi Dr # a
Kailua Kona, HI 96740-8114
Phone (808) 987-4506
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000248963 | Other | HI | HMSA QUEST |
| 560616-03 | Medicaid | HI | |
| 00A024896-1 | Other | HI | HMSA - LCCK |
| 000024896-3 | Other | HI | HMSA |
| 560616-01 | Medicaid | HI | |
| 0394691100 | Other | HI | UHA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242432000000",
"number": "1821223124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74-5027 TOMI TOMI DR # A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408114",
"telephone_number": "808-987-4506",
"fax_number": "808-326-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74-5027 TOMI TOMI DR # A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408114",
"telephone_number": "808-987-4506",
"fax_number": "808-326-9071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONA NPS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-16",
"last_updated": "2009-05-16",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "RONDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER OWNER",
"authorized_official_telephone_number": "808-987-4506",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "HI",
"license": "APRN 677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST",
"identifier": "0000248963",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560616-03",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA - LCCK",
"identifier": "00A024896-1",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "000024896-3",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560616-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "0394691100",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.