Individual provider Active NPI

Alysa Nguyen, ND, LAC

  • Naturopath
  • Honolulu, HI
National Provider Identifier
1366693756
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
173 Issued in HI
Practice address
1150 S King St Ste 908
Honolulu, HI 96814-1953
Phone
(808) 228-8417
Fax
(866) 931-0815
NPI assigned
Oct 4, 2008
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 852 HI
Naturopath 175F00000X 173 HI Primary

Addresses

Primary practice location

1150 S King St Ste 908
Honolulu, HI 96814-1953

Mailing address

1150 S King St Ste 908
Honolulu, HI 96814-1953
Phone (808) 228-8417

Other practice location 1

135 S Wakea Ave Ste 102
Kahului, HI 96732-1385
Phone (808) 228-8417

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
852HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1366693756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 908",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141953",
            "telephone_number": "808-228-8417",
            "fax_number": "866-931-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 908",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141953",
            "telephone_number": "808-228-8417",
            "fax_number": "866-931-0815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Wakea Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967321385",
            "country_code": "US",
            "telephone_number": "808-228-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALYSA",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "852",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "173",
            "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 Mar 1, 2024; 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.