Active NPI
Audrey Akiko Sugimoto
- Speech-Language Pathologist
- Kahului, HI
National Provider Identifier
1982574687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.LL.70030853
- Practice address
- 410 Hina Ave
Kahului, HI 96732-2717 - Phone
- (808) 727-4700
- NPI assigned
- Nov 7, 2025
- Last updated
- Oct 1, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 38460 | CA | MD | Speech-Language Pathologist |
| SLP101710 | MA | MD | Speech-Language Pathologist |
| SLP.LL.70030853 | WA | MD | Speech-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.