Active NPI
Suzette Guillermo Tiangco, RN, CDCES
- Diabetes Educator Registered Nurse
- Honolulu, HI
National Provider Identifier
1497641443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 32309949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32309949 | HI | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | 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.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
dba Queen'S Island Urgent Care
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1528691383
-
- Skilled Nursing Facility
- Honolulu, HI
- NPI 1851389365
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.