Individual provider Active NPI

Gwen Emiko Auyong, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1235259706
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-728 Issued in HI
Practice address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone
(808) 694-9596
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-728 HI Primary

Addresses

Primary practice location

9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343

Mailing address

46-255 Kahuhipa St Apt A1202
Kaneohe, HI 96744-6083
Phone (808) 247-9353

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-728HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Administration Pacific Island Health Care System Current Accepting new patients
Rocky Mountain Kidney Care LLC CurrentSince Sep 15, 2024 Accepting new patients
Hawaii Cardiology, Inc Past Accepting new patients
Gwen Auyong FNP LLC Family PastSince Apr 23, 2014 Accepting new patients
Cardiology Associates, Inc. Past Accepting new patients
Pon-Sang Chan MD Inc PastSince Jun 14, 2020 Accepting new patients

Locations

1520 Liliha St
Ste 601
Honolulu, HI 96817
Phone (808) 536-9964

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/11bc0c3c-c195-42b2-ba3e-5064c5f00185/
  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gwen.auyong@hawaiihie.medicity.net

Organizations & group practices 6

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1235259706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-255 KAHUHIPA ST APT A1202",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446083",
            "telephone_number": "808-247-9353",
            "fax_number": "808-235-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "808-694-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUYONG",
        "first_name": "GWEN",
        "middle_name": "EMIKO",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.