Individual provider Active NPI

Audrey Akiko Sugimoto

  • Speech-Language Pathologist
  • Kahului, HI
National Provider Identifier
1982574687
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.LL.70030853 Issued in WA
Practice address
410 Hina Ave
Kahului, HI 96732-2717
Phone
(808) 727-4700
NPI assigned
Nov 7, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP101710 MA
Speech-Language Pathologist 235Z00000X SLP.LL.70030853 WA Primary
Speech-Language Pathologist 235Z00000X 252361 AK
Speech-Language Pathologist 235Z00000X 38460 CA
Speech-Language Pathologist 235Z00000X SP-2559 HI

Addresses

Primary practice location

410 Hina Ave
Kahului, HI 96732-2717

Mailing address

2618 San Jacinto St
Simi Valley, CA 93063-2395
Phone (805) 657-1756

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

State licenses

LicenseStateTypeSpecialty
38460CAMDSpeech-Language Pathologist
SLP101710MAMDSpeech-Language Pathologist
SLP.LL.70030853WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1982574687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN JACINTO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632395",
            "telephone_number": "805-657-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HINA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322717",
            "telephone_number": "808-727-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIMOTO",
        "first_name": "AUDREY",
        "middle_name": "AKIKO",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP101710",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP.LL.70030853",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "252361",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38460",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-2559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.