Individual provider Active NPI

Glory Gay Manera Abad

  • General Practice Registered Nurse
  • Kapolei, HI
National Provider Identifier
1437993896
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN-75271 Issued in HI
Practice address
1229 Kukulu St
Kapolei, HI 96707-4501
Phone
(808) 386-7607
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN-75271 HI Primary

Addresses

Primary practice location

1229 Kukulu St
Kapolei, HI 96707-4501

Mailing address

91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707-2185

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
RN-75271HIMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1437993896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1051 FRANKLIN D ROOSEVELT AVE",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 KUKULU ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074501",
            "telephone_number": "808-386-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAD",
        "first_name": "GLORY GAY",
        "middle_name": "MANERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "HI",
            "license": "RN-75271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.