Individual provider Active NPI

Paula Nichaelle Exconde Aquino, MSN, APRN-RX, FNP-BC

  • Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1831841006
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3591 Issued in HI
Practice address
94-837 Waipahu St
Waipahu, HI 96797-3320
Phone
(808) 671-3911
NPI assigned
Jan 19, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3591 HI Primary
Family Nurse Practitioner 363LF0000X APRN-3591 HI
Primary Care Nurse Practitioner 363LP2300X APRN-3591 HI
Registered Nurse 163W00000X RN-95446 HI

Addresses

Primary practice location

94-837 Waipahu St
Waipahu, HI 96797-3320

Mailing address

91-1200 Keaunui Dr Apt 1
Ewa Beach, HI 96706-4698
Phone (808) 724-8156

Other practice location 1

1712 Liliha St Ste 202
Honolulu, HI 96817-5409
Phone (808) 436-6700

Other identifiers 1

IdentifierTypeStateIssuer
002763MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428001780 HI Practitioner - Nurse Practitioner 5597152140 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-95446HIMDRegistered Nurse
APRN-3591HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Y Sonido M D LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince Mar 17, 2024 Accepting new patients

Locations

1712 Liliha St
Ste 202
Honolulu, HI 96817
Phone (808) 536-1754

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1831841006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1200 KEAUNUI DR APT 1",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064698",
            "telephone_number": "808-724-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973320",
            "telephone_number": "808-671-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Liliha St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968175409",
            "country_code": "US",
            "telephone_number": "808-436-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "PAULA NICHAELLE",
        "middle_name": "EXCONDE",
        "name_prefix": "Dr.",
        "credential": "MSN, APRN-RX, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3591",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3591",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-3591",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-95446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002763",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.