Individual provider Active NPI

Merrily Divine Daly, RN, LM, CPM

  • Case Management Registered Nurse
  • Makawao, HI
National Provider Identifier
1821452442
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
21789 Issued in HI
Practice address
165 Mokuahi St
Makawao, HI 96768-8963
NPI assigned
Apr 9, 2016
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 21789 HI Primary
Home Health Registered Nurse 163WH0200X 21789 HI
Midwife 176B00000X 00040004 TN
Midwife 176B00000X 5 HI

Addresses

Primary practice location

165 Mokuahi St
Makawao, HI 96768-8963

Mailing address

165 Mokuahi St
Makawao, HI 96768-8963
Phone (808) 280-2077

Other practice location 1

115 E Lipoa St Ste 103
Kihei, HI 96753-8182
Phone (808) 280-2977

Other practice location 2

165 Mokuahi St
Makawao, HI 96768-8963
Phone (808) 280-2077

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
5HIMDPsychologist
21789HIMDCase Management Registered Nurse
00040004TNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Daly Resources LLC Past Accepting new patients

Organizations & group practices 1

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": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1821452442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MOKUAHI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688963",
            "telephone_number": "808-280-2077",
            "fax_number": "808-442-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MOKUAHI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Lipoa St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967538182",
            "country_code": "US",
            "telephone_number": "808-280-2977",
            "fax_number": "808-442-1454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Mokuahi St",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "967688963",
            "country_code": "US",
            "telephone_number": "808-280-2077",
            "fax_number": "808-442-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "MERRILY",
        "middle_name": "DIVINE",
        "credential": "RN, LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "21789",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "HI",
            "license": "21789",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "00040004",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "HI",
            "license": "5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.