Blaire Mamac-Kaalekahi, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05250772 Issued in AZ

Practice address

337 E Virginia Ave Unit B
Phoenix, AZ 85004-1220

Phone

(602) 424-2060

NPI assigned

Jun 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blaire Tokomaata Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD
• Impact Minds Holdings LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1063304848
  NPD

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1962396192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E VIRGINIA AVE UNIT B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041220",
            "telephone_number": "602-424-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMAC-KAALEKAHI",
        "first_name": "BLAIRE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F05250772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIRE",
            "last_name": "TOKOMAATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maloney Chiropractic, Inc
• Cacinda Lynn Maloney, DC
• Grace L Maloney, MD
• Patrick Albert Maloney, DC
• Joseph Maloy, PHARMD
• Mammography Partners LLC
• Mammography Partners LLC
• Mammography Partners, LLC
• Brandy Marie Mamo, M.A., BCBA, LBA
• Frank Mamola, RDMS

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.