Active NPI
Teresa Louise Brink Wong, RN CDE
- Diabetes Educator Registered Nurse
- Honolulu, HI
National Provider Identifier
1861778805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN24083
- Practice address
- 1319 Punahou St Ste 540
Honolulu, HI 96826-1046 - Phone
- (808) 983-8559
- Fax
- (808) 983-8559
- NPI assigned
- Oct 21, 2011
- 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 | RN24083 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St Ste 540
Honolulu, HI 96826-1046
Mailing address
1319 Punahou St Ste 540
Honolulu, HI 96826-1046
Phone (808) 983-8559
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN24083 | HI | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1861778805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST STE 540",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261046",
"telephone_number": "808-983-8559",
"fax_number": "808-983-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST STE 540",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261046",
"telephone_number": "808-983-8559",
"fax_number": "808-983-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK WONG",
"first_name": "TERESA",
"middle_name": "LOUISE",
"credential": "RN CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "HI",
"license": "RN24083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.