Individual provider Active NPI

Kevin Guarino Hitosis, MSN, APRN, BC

  • Family Nurse Practitioner
  • Agana Heights, GU
National Provider Identifier
1255385340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP0080 Issued in GU
Practice address
VA Clinic US Naval Hospital
Building 1, E-200
Agana Heights, GU 96919
Phone
(671) 344-9092
NPI assigned
May 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NP0080 GU Primary

Addresses

Primary practice location

VA Clinic US Naval Hospital
Building 1, E-200
Agana Heights, GU 96919

Mailing address

Veterans Clinic, Usnh Guam,
BLDG. E-200
Agana Heights, GU 96919
Phone (671) 344-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20240723000120 GU Order and Referring Only - Nurse Practitioner 9638311087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
NP0080GUMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255385340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VETERANS CLINIC, USNH GUAM,",
            "address_2": "BLDG. E-200",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96919",
            "telephone_number": "671-344-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA CLINIC US NAVAL HOSPITAL",
            "address_2": "BUILDING 1, E-200",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96919",
            "telephone_number": "671-344-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITOSIS",
        "first_name": "KEVIN",
        "middle_name": "GUARINO",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agana Heights, GU

Sources for this page

Verify at the official NPI Registry.