Active NPIIndividual provider

Mr. Jonathan Russo, RN

Registered Nurse in Kaunakakai, Hawaii

NPI Number1790647360
Practice location
280 Home Olu Pl., Kaunakakai, HI 96748
Fax
—
Last updated
December 2, 2025

Jonathan Russo is a Registered Nurse based in Kaunakakai, HI. Jonathan Russo practices in Kaunakakai, HI and has the professional credentials of RN. The NPI Number for Jonathan Russo is 1790647360 and holds a License No. RN121387 (HI). The current practice location address for Jonathan Russo is 280 Home Olu Pl., Kaunakakai, HI 96748 and can be reached out via phone at 808-553-5331.

Provider Profile Details

NPI Number
1790647360
Provider Name
Jonathan Russo
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
280 Home Olu Pl., Kaunakakai, HI 96748
Phone Number
808-553-5331
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2025
Last Update Date
December 2, 2025
Certification Date
November 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 Home Olu Pl.
Kaunakakai, HI 96748
State
Hawaii
Zip
96748
Phone Number
808-553-5331
Kaunakakai, HI 96748Get directions →

Provider Business Mailing Address Details

Address
41 Flax Isle Dr
Little Egg Harbor Twp, NJ 08087-2316
City
Little Egg Harbor Twp
State
NJ
Zip
08087-2316
Phone Number
808-553-5331

License Information

License Number
RN121387
License State
HI
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Registered Nurses near Kaunakakai, HI

View all Registered Nurses in Kaunakakai →
No other indexed providers in Kaunakakai yet.

Frequently Asked Questions

What is the NPI number of Mr. Jonathan Russo, RN?

The NPI number of Mr. Jonathan Russo, RN is 1790647360. It was assigned on December 2, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Jonathan Russo, RN?

Mr. Jonathan Russo, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in HI under license number RN121387.

Where does Mr. Jonathan Russo, RN practice?

The practice location is 280 Home Olu Pl., Kaunakakai, HI 96748. The office can be reached at 808-553-5331 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790647360 directly on the NPPES registry website.

Browse related providers