Jeanette Nguyen, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN-3829-0 Issued in HI

Practice address

1780 Poipu Aina PL Lot a
Koloa, HI 96756-9517

Phone

(915) 996-5138

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kauai Womens Health Center LLC

  • Clinic/Center
  • Lihue, HI
  • NPI 1790479558
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1407573025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 POIPU AINA PL LOT A",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 POIPU AINA PL LOT A",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569517",
            "telephone_number": "915-996-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JEANETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "APRN-3829-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis McGill, ARNP
• Appelusa McGlynn, FDNP
• Hugh Scott Moore, MD
• Joseph M. Murray, M.D.
• Nerveflow
• Holly Marie Poag, D.O.
• Poipu MD, LLC
• Puuwai Professional Enterprises, LLC
• Scott K Ross, MD
• Samuel Mahelona Memorial Hospital

• Women's Health Nurse Practitioner in Koloa, HI
• Providers in Koloa, HI by specialty
• Women's Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.