Individual provider Active NPI

Tracy Elizabeth Thornett, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1063959062
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2100 Issued in HI
Practice address
101 Aupuni St Ste 108
Hilo, HI 96720-4260
Phone
(808) 968-0877
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2100 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2100 HI Primary

Addresses

Primary practice location

101 Aupuni St Ste 108
Hilo, HI 96720-4260

Mailing address

1299 Kekuanaoa St Unit 6243
Hilo, HI 96720-0209
Phone (808) 968-0877

Other practice location 1

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 032-3000

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
I20171110002793 HI Practitioner - Nurse Practitioner 6709142516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2094

1299 Kekuanaoa St
Hilo, HI 96720-0014

1299 Kekuanaoa St
PO Box 6243
Hilo, HI 96720-9998

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2100HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Aug 29, 2017 Accepting new patients
Kau Hospital CurrentSince Sep 4, 2020 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Aug 29, 2017 Accepting new patients
Honu Health LLC CurrentSince Feb 1, 2021 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 4, 2020 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 4, 2020 Accepting new patients
Kau Hospital CurrentSince Sep 4, 2020 Accepting new patients

Locations

101 Aupuni St
Ste 108
Hilo, HI 96720
Phone (808) 640-7615

1299 Kekuanaoa St
Unit 6243
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

Organizations & group practices 8

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1063959062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 KEKUANAOA ST UNIT 6243",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967200209",
            "telephone_number": "808-968-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE 108",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204260",
            "telephone_number": "808-968-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202089",
            "country_code": "US",
            "telephone_number": "808-032-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNETT",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "2100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.