Autumn Augustine, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Honolulu, HI
NPI 1124860200 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1124860200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3288 Moanalua Rd
Honolulu, HI 96819-1469 - Phone
- (517) 358-7881
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Mailing address
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Phone (808) 433-1076
Other practice location 1
1 Jarrett White Rd
Tripler Amc, HI 96859-5001
Phone (808) 433-1076
Other providers in Honolulu, HI
- Vincent E. Au
- Sakaria Auelua-Toomey
- Jada August
- Aurora Augustin
- Rosario R Augustin
- Joshua Aliimeaheenalu Auld
- Amanda Leigh Aune
- Charles Aung
- Auradent Inc.
- Junalyn Joyce Aurelio
All providers in Honolulu, HI · Student in an Organized Health Care Education/Training Program in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.