Individual provider Active NPI

Macey Min-Chu Luo-Souza, APRN-RX

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Honolulu, HI
National Provider Identifier
1891947669
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
APRN-1509 Issued in HI
Practice address
928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193
Phone
(808) 383-2644
Fax
(808) 536-2024
NPI assigned
Oct 10, 2008
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X APRN-1509 HI Primary
Registered Nurse 163W00000X RN-59164 HI

Addresses

Primary practice location

928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193

Mailing address

928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193
Phone (808) 628-8435

Other names 1

  • Ms. Macey Min-Chu Luo 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
I20200808000154 HI Practitioner - Certified Clinical Nurse Specialist (CNS) 3779869995 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

928 Nuuanu Ave
Honolulu, HI 96817-5193
Phone (808) 628-8435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
APRN-1509HIMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1891947669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE LOWR LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-628-8435",
            "fax_number": "808-536-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE LOWR LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-383-2644",
            "fax_number": "808-536-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO-SOUZA",
        "first_name": "MACEY",
        "middle_name": "MIN-CHU",
        "name_prefix": "Ms.",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "HI",
            "license": "APRN-1509",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-59164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACEY",
            "last_name": "LUO",
            "middle_name": "MIN-CHU",
            "prefix": "MS.",
            "credential": "RN, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.