Individual provider Active NPI

Laine M Guillot, FNP

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1558840249
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2510 Issued in HI
Practice address
1314 S King St Ste 713
Honolulu, HI 96814-1942
Phone
(808) 462-3299
Fax
(808) 888-0924
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 APRN2510 HI Primary

Addresses

Primary practice location

1314 S King St Ste 713
Honolulu, HI 96814-1942

Mailing address

1110 University Ave Ste 302
Honolulu, HI 96826-1544
Phone (808) 221-7743

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Valant Direct

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN2510HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laine G NP LLC CurrentSince Oct 10, 2021 Accepting new patients

Locations

1314 S King St
Ste 713
Honolulu, HI 96814
Phone (808) 462-3299

Organizations & group practices 1

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1558840249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 UNIVERSITY AVE STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261544",
            "telephone_number": "808-221-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 713",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-462-3299",
            "fax_number": "808-888-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLOT",
        "first_name": "LAINE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Valant",
            "affiliation": "N",
            "endpointDescription": "online website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1314 S King St Ste 713",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968141942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 7, 2021; 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.