LYRA FUMIKO RONQUILLO CHUA (NPI# 1407404387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407404387 |
| Entity Type | Individual |
| Full Name | LYRA FUMIKO RONQUILLO CHUA |
| Practice Address |
55 Maui Lani Pkwy Wailuku HI 96793-2416 |
| Mailing Address |
4955 Hanawai St Apt 9-104 Lahaina HI 96761-8818 |
| Practice Telephone | 8082436000 |
| Mailing Telephone | 7073862843 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2736 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 MAUI LANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093722399 | Rachel Kaya | Psychologist | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-08-01 |
| 1841708369 | Lori Shinsato | Social Worker | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2018-01-18 |
| 1952827438 | Stacy Haunani Tan | Social Worker | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-08-16 |
| 1952703266 | Tiare Gorospe | Pharmacist | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2014-09-17 |
| 1538569124 | Luisa Ogawa | Nurse Practitioner | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2014-09-02 |
| 1194061549 | Stephanie Manzella | Physician Assistant | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2012-12-12 |
| 1740567338 | Wesley Ching | Pharmacist | 55 Maui Lani Pkwy, Mln Pharmacy, Wailuku, HI 96793-2416 | 2011-11-09 |
| 1598057200 | Anna Sokolowski | Family Medicine | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2011-05-12 |
| 1194014357 | Kaumakaokalani Shimatsu | Internal Medicine | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2011-03-28 |
| 1619277316 | Malte Breitlow | Pharmacist | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465398 | Laura Michelle Speth | Nurse Practitioner | 2065 Main St Ste 112, Wailuku, HI 96793-1693 | 2017-06-01 |
| 1215293469 | Donna Grace Hinton | Nurse Practitioner | 766 Analio St, Wailuku, HI 96793-9606 | 2012-04-02 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| 1588069074 | Sherelle Lum | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2014-10-27 |
| 1063859098 | Teresa Marie Lawrence | Nurse Practitioner | 221 Mahalani St, Wailuku, HI 96793-2526 | 2013-05-31 |
| 1790072551 | Jason G Kiaffas | Nurse Practitioner | 221 Mahalani St, Wailuku, HI 96793-2526 | 2011-06-30 |
| 1578708467 | Bruce Yale Scheer | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2008-12-08 |
| 1154346914 | Rosemarie Foronda | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1666 | 2006-07-13 |
| 1497788012 | Diane Conklin | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1666 | 2006-07-08 |
| Find all providers in WAILUKU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.