Sally Jo McTigue, APRN-RX

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-2852 Issued in HI

Practice address

1314 S King St Ste 723
Honolulu, HI 96814-1942

Phone

(808) 818-7031

Fax

(808) 818-7031

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, SC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rice Consultancy LLC

  • Gastroenterology Physician
  • Aiea, HI
  • NPI 1043616865
  Medicare reassignment NPD
• Hawaii Cardiology, Inc

  • Cardiovascular Disease Physician
  • Kamuela, HI
  • NPI 1821099144
  NPD (past)
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1891320800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2154",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967018154",
            "telephone_number": "088-818-7031",
            "fax_number": "808-207-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 723",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-818-7031",
            "fax_number": "808-818-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Verdae Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074098",
            "country_code": "US",
            "telephone_number": "864-990-1910",
            "fax_number": "864-990-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4366 Keaka Dr",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968181109",
            "country_code": "US",
            "telephone_number": "808-295-7187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 Harden St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292051082",
            "country_code": "US",
            "telephone_number": "864-686-7955",
            "fax_number": "864-686-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCTIGUE",
        "first_name": "SALLY",
        "middle_name": "JO",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENSE",
            "identifier": "APRN2852",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan McNeill
• Kamala P. McNevin, PA-C
• Margaret Anne McNulty, DRPH
• Anne Millicent McPhee, R.D., L.D., C.D.E.
• George O. McPheeters, M.D.
• Kirsty Margaret McWalter, M.S., C.G.C.
• MD24 Hi, Inc.
• Danielle Meachum, BCBA
• Eric Mead
• Eunice Marie Louise Meadoux

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.