MISS TIFFANY KRISTINE GOUGEON (NPI# 1679171078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679171078 |
| Entity Type | Individual |
| Full Name | MISS TIFFANY KRISTINE GOUGEON |
| Credential | R.N. |
| Practice Address |
56-660 Kamehameha Hwy Kahuku HI 96731-2210 |
| Mailing Address |
1655 Kewalo St Apt E Honolulu HI 96822-3124 |
| Practice Telephone | 8082937555 |
| Mailing Telephone | 4136955157 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
84703 | HI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952819005 | Tiffany Lorraine Gougeon | Physical Therapist | 232 River St Apt 15, Santa Cruz, CA 95060-2291 | 2018-01-10 |
| Street Address |
56-660 KAMEHAMEHA HWY |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306904461 | Bobby Benson Center | Substance Abuse Rehabilitation Facility | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2006-12-04 |
| 1033717665 | Luseane Latu | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-10-15 |
| 1114544145 | Melita Maramanisiga Matanatabu | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-25 |
| 1417573478 | Soli K.m. Afalava | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-24 |
| 1942826391 | Josevata Dredre Damuni | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-22 |
| 1013533389 | Sione Ford Naeata | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-22 |
| 1710503263 | Isabella Dearaujo | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-21 |
| 1194341990 | John Labarre Moleni | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-18 |
| 1316563265 | Kolokesa Piutau | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-16 |
| 1982220810 | Cameron Clay Walker | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054607 | Eric Schueler | Registered Nurse | 1301 Punchbowel, Honolulu, HI 96813 | 2017-03-15 |
| 1992139141 | Tammy Wai-sum Tang | Registered Nurse | 1348 Hoohui St, Pearl City, HI 96782-2904 | 2013-08-23 |
| 1902064439 | Georgine M. Panui | Registered Nurse | 85-979 Mill St, Waianae, HI 96792-2645 | 2008-05-30 |
| 1568079309 | Wallace Hood | Registered Nurse | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2020-09-25 |
| 1457967036 | Jenalyn Ramos | Registered Nurse | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2020-09-19 |
| 1326561234 | Cynthia Walker Heinicke | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2017-07-23 |
| 1164808747 | Derrick De Soto | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2015-08-05 |
| 1326388844 | Matthew Padwick | Registered Nurse | 1301 Punchbowl St, Family Treatment Center, Honolulu, HI 96813-2402 | 2013-02-20 |
| 1346589504 | Nathan A Jones | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2013-02-07 |
| 1710224761 | Tera Harper | Registered Nurse | 1301 Punchbowl St, Family Treatment Center, Honolulu, HI 96813-2402 | 2013-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.