Individual provider Active NPI

Dolores Soler-Bergau, APRN

  • Registered Nurse
  • Kahului, HI
National Provider Identifier
1932159597
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
APRN 813 Issued in HI
Practice address
203 Hoohana St
Suite 201
Kahului, HI 96732-2476
Phone
(808) 873-2121
Fax
(808) 873-2148
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN 813 HI Primary

Addresses

Primary practice location

203 Hoohana St
Suite 201
Kahului, HI 96732-2476

Mailing address

PO Box 711
Hana, HI 96713-0711
Phone (808) 248-8425

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
I20051011001069 HI Practitioner - Nurse Practitioner 3072538727 Practice locations: Hana, HI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN 813HIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Physical Therapy Inc. Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1932159597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "HANA",
            "state": "HI",
            "postal_code": "967130711",
            "telephone_number": "808-248-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOOHANA ST",
            "address_2": "SUITE 201",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322476",
            "telephone_number": "808-873-2121",
            "fax_number": "808-873-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLER-BERGAU",
        "first_name": "DOLORES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "APRN 813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.