Individual provider Active NPI

Suzette Guillermo Tiangco, RN, CDCES

  • Diabetes Educator Registered Nurse
  • Honolulu, HI
National Provider Identifier
1497641443
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
32309949 Issued in HI
Practice address
1380 Lusitana St Ste B-5
Honolulu, HI 96813-2449
Phone
(808) 691-4823
Fax
(808) 691-5399
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 32309949 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste B-5
Honolulu, HI 96813-2449

Mailing address

1706 Noe St
Honolulu, HI 96819-3852
Phone (808) 636-5052

Other names 1

  • Suzette Guillermo Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000338 HI Practitioner - Other (Non-Physician) 0840780516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Honolulu, HI 96820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32309949HIMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center Current Accepting new patients
The Queens Medical Center CurrentSince Aug 1, 2025 Accepting new patients
The Queens Medical Center CurrentSince Aug 1, 2025 Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1329 Lusitana St
Ste B5
Honolulu, HI 96813
Phone (808) 691-4823

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Organizations & group practices 4

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1497641443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NOE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193852",
            "telephone_number": "808-636-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE B-5",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-691-4823",
            "fax_number": "808-691-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIANGCO",
        "first_name": "SUZETTE",
        "middle_name": "GUILLERMO",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "HI",
            "license": "32309949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "GUILLERMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.