Individual provider Active NPI

Courtny Elizabeth Tanigawa, APRN

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1689829020
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 735 Issued in HI
Practice address
91-1010 Shangrilla Street
Kalaeloa Professional Center
Kapolei, HI 96707
Phone
(808) 381-2267
Fax
(808) 677-2570
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN 735 HI Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN 735 HI

Addresses

Primary practice location

91-1010 Shangrilla Street
Kalaeloa Professional Center
Kapolei, HI 96707

Mailing address

1778 Bertram Street
Honolulu, HI 96816
Phone (808) 671-8511

Other names 1

  • Courtny Elizabeth East 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090320000390 HI Practitioner - Nurse Practitioner 3375600208 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fields Psychiatric Consultants LLCGroup PAC ID 7911383211, 13 clinicians
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

100 Kahelu Ave
Suite 232
Mililani, HI 96789-3962
Phone (808) 207-9800

1380 Lusitana St
Honolulu, HI 96813-2448

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN 735HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Hawaii Health & Harm Reduction Center CurrentSince Jul 15, 2019 Accepting new patients
The Wahiawa Center for Community Health CurrentSince Oct 1, 2018 Accepting new patients
The Queen's Medical Center CurrentSince Apr 12, 2021 Accepting new patients
The Queens Medical Center CurrentSince Apr 12, 2021 Accepting new patients
Fields Psychiatric Consultants LLC CurrentSince Nov 4, 2025 Accepting new patients
Life Foundation PastSince Jul 15, 2019 Accepting new patients

Locations

91-2301 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 671-8511

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

677 Ala Moana Blvd
Ste 226
Honolulu, HI 96813
Phone (808) 521-2437

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

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

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

100 Kahelu Ave
Ste 232
Mililani, HI 96789
Phone (808) 207-9800

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1689829020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 BERTRAM STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-671-8511",
            "fax_number": "808-677-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1010 SHANGRILLA STREET",
            "address_2": "KALAELOA PROFESSIONAL CENTER",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-381-2267",
            "fax_number": "808-677-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGAWA",
        "first_name": "COURTNY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 735",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "APRN 735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNY",
            "last_name": "EAST",
            "middle_name": "ELIZABETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.