Individual provider Active NPI

Hyesu Shin, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1437516614
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2258 Issued in HI
Practice address
1003 Bishop St Ste 2700
Honolulu, HI 96813-6475
Phone
(415) 735-5804
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340098 NY
Family Nurse Practitioner 363LF0000X 2258 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2258 HI Primary

Addresses

Primary practice location

1003 Bishop St Ste 2700
Honolulu, HI 96813-6475

Mailing address

1391 Kapiolani Blvd Apt 409
Honolulu, HI 96814-4576
Phone (808) 342-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200408004774 HI Practitioner - Nurse Practitioner 4385073519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340098NYMDFamily Nurse Practitioner
2258HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Plus Inc Psychiatric/Mental Health CurrentSince Feb 25, 2024 Accepting new patients
Manoasta Inc CurrentSince May 27, 2023 Accepting new patients

Locations

438 Hobron Ln
Ste 314
Honolulu, HI 96815
Phone (808) 913-8840

Interoperability endpoints

  • Direct secure messaging: hyesu.shin@hawaiihie.medicity.net

Organizations & group practices 2

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1437516614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 KAPIOLANI BLVD APT 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144576",
            "telephone_number": "808-342-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 2700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136475",
            "telephone_number": "415-735-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HYESU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2258",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.