Individual provider Active NPI

Shyanne Santos Dela Vega, DNP, APRN-RX, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1831936459
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4663 Issued in HI
Practice address
500 Ala Moana Blvd Ste 1-500
Honolulu, HI 96813-4900
Phone
(808) 543-1188
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-4663 HI Primary
Registered Nurse 163W00000X RN-98266 HI

Addresses

Primary practice location

500 Ala Moana Blvd Ste 1-500
Honolulu, HI 96813-4900

Mailing address

500 Ala Moana Blvd Ste 1-500
Honolulu, HI 96813-4900
Phone (808) 499-5102

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
I20251130000155 HI Practitioner - Nurse Practitioner 0446743355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 350
Aiea, HI 9670144ND

PO Box
Suite 6971
Lincoln, NE 68506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-98266HIMDRegistered Nurse
APRN-4663HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
We Prescribe Inc CurrentSince Nov 1, 2025 Accepting new patients
Malama Ola Health Services LLC Past Accepting new patients
Malama Ola Health Services LLC Past Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1831936459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 1-500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134900",
            "telephone_number": "808-499-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 1-500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134900",
            "telephone_number": "808-543-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA VEGA",
        "first_name": "SHYANNE",
        "middle_name": "SANTOS",
        "credential": "DNP, APRN-RX, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4663",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-98266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.