DR. AUTUMN AUGUSTINE MD
NPI 1124860200
Student in an Organized Health Care Education/Training Program in Honolulu, HI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 10, 2024

3288 MOANALUA RD, HONOLULU, HI 96819(517) 358-7881 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2025, Jun 10, 2024 (2 updates tracked since 2024).

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About Dr. Autumn Augustine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUTUMN AUGUSTINE MD (NPI 1124860200) is an individual student in an organized health care education/training program in Honolulu, Hawaii and active in the NPI registry since June 2024. She maintains a secondary practice location in Tripler Amc.

NPPES Registry Identity

NPI1124860200

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. AUTUMN AUGUSTINECredential: MD

Location Address3288 MOANALUA RDHonolulu, HI 96819-1469

Mailing Address1 Jarrett White RdTripler Amc, HI 96859-5001 · (808) 433-1076

Phone(517) 358-7881

Sole ProprietorNo

Enumeration DateJune 10, 2024

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1124860200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3288 MOANALUA RD, Honolulu, HI 96819

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