Mickey Sutton

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN-101308 Issued in HI

Practice address

2875 Waianae Uka Ave
Wahiawa, HI 96786-7006

Phone

(808) 305-1800

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1720756166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 SHIMOGAWA LN",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967864741",
            "telephone_number": "240-421-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 WAIANAE UKA AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967867006",
            "telephone_number": "808-305-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MICKEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "HI",
            "license": "RN-101308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Jolene Stephens
• Jesse Scott Strelow
• Inez Hanako Suehisa, DMD
• Szeming Suen, MD
• Melissa M Sutherland, APRN
• Wade T Suzuki, PT
• Sione Tafuna
• Michael Tee Tan, FNP-BC
• Federico Tangonan Jr.
• Deena Tanimoto

• School Registered Nurse in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• School Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.