Individual provider Active NPI

Garla Kuuipoaloha Souza-Roy, APRN RX-FNP

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1437660750
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2256 Issued in HI
Practice address
6799 Hawaii Kai Dr
Honolulu, HI 96825-1506
Phone
(808) 381-2443
NPI assigned
Oct 13, 2017
Last updated
Oct 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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 2256 HI Primary

Addresses

Primary practice location

6799 Hawaii Kai Dr
Honolulu, HI 96825-1506

Mailing address

6799 Hawaii Kai Dr
Honolulu, HI 96825-1506
Phone (808) 381-2443

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
I20230523001855 HI Practitioner - Nurse Practitioner 4981060688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Hawaii John a. Burns School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ke Ola MamoGroup PAC ID 0143245100, 3 clinicians

Practice addresses (Care Compare)

321 N Kuakini St
Suite 308
Honolulu, HI 96817-2360
Phone (808) 440-6852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2256HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Empowerment Resources CurrentSince Aug 1, 2025 Accepting new patients
Ke Ola Mamo CurrentSince Jan 17, 2023 Accepting new patients
Ke Ola Mamo PastSince Jan 17, 2023 Accepting new patients

Locations

1110 University Ave
Ste 411
Honolulu, HI 96826
Phone (808) 942-7800

321 N Kuakini St
Ste 308
Honolulu, HI 96817
Phone (808) 440-6852

680 Iwilei Rd
Ste 500
Honolulu, HI 96817
Phone (808) 441-1115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1437660750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 HAWAII KAI DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251506",
            "telephone_number": "808-381-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 HAWAII KAI DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251506",
            "telephone_number": "808-381-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA-ROY",
        "first_name": "GARLA",
        "middle_name": "KUUIPOALOHA",
        "name_prefix": "Ms.",
        "credential": "APRN RX-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.