KIMBERLY TAN SUPNET
NPI 1417720152
Nurse Practitioner - Family in Waipahu, HI

Q: What is Kimberly Supnet's NPI number?

The NPI number for Kimberly Supnet is 1417720152. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Q: What is Kimberly Supnet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Supnet was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2023

94-1221 KA UKA BLVD UNIT 108-213, WAIPAHU, HI 96797(808) 277-6809 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Tan Supnet NPPES

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

KIMBERLY TAN SUPNET (NPI 1417720152) is an individual family provider in Waipahu, Hawaii, licensed in Hawaii (APRN-4271) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1417720152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY TAN SUPNET

Location Address94-1221 KA UKA BLVD UNIT 108-213Waipahu, HI 96797-6202

Mailing Address94-1221 Ka Uka Blvd Unit 108-213Waipahu, HI 96797-6202

Phone(808) 277-6809

Sole ProprietorNo

Enumeration DateNovember 3, 2023

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1417720152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in HI · APRN-4271

94-1221 KA UKA BLVD UNIT 108-213, Waipahu, HI 96797

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Supnet's NPI number?

The NPI number for Kimberly Supnet is 1417720152. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Where is Kimberly Supnet located?

Kimberly Supnet practices at 94-1221 Ka Uka Blvd Unit 108-213, Waipahu, HI 96797. The listed phone number is (808) 277-6809.

What is Kimberly Supnet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Supnet was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.