Individual provider Active NPI

Thi-Minh Thao Guppy

  • Registered Nurse
  • Honolulu, HI
National Provider Identifier
1023617651
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-95786 Issued in HI
Practice address
4559 Kilauea Ave
Honolulu, HI 96816-5046
Phone
(808) 208-1629
NPI assigned
Oct 24, 2020
Last updated
Oct 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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 RN-95786 HI Primary

Addresses

Primary practice location

4559 Kilauea Ave
Honolulu, HI 96816-5046

Mailing address

735 Ohana Nui Cir
Honolulu, HI 96818-4476
Phone (757) 788-4285

Other practice location 1

3155 Manoa Rd
Honolulu, HI 96822-1228
Phone (808) 208-1629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN-95786HIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1023617651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 OHANA NUI CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184476",
            "telephone_number": "757-788-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4559 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165046",
            "telephone_number": "808-208-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Manoa Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968221228",
            "country_code": "US",
            "telephone_number": "808-208-1629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPPY",
        "first_name": "THI-MINH THAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-95786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.