MICHELLE NATHANIA TAN DO
NPI 1669237236
General Practice in Jbphh, HI

Active since February 14, 2024
480 CENTRAL AVE, JBPHH, HI 96860(808) 448-3285 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2026, Jan 21, 2026, Jul 12, 2025 and 1 more (4 updates tracked since 2024).

About Michelle Nathania Tan Do NPPES

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

MICHELLE NATHANIA TAN DO (NPI 1669237236) is an individual general practice provider in Jbphh, Hawaii, licensed in Virginia (0102209499) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1669237236
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMICHELLE NATHANIA TANCredential: DO
Location Address480 CENTRAL AVEJbphh, HI 96860-4908
Mailing AddressIii Marine Expeditionary Force Surgeon, Unit 35605Fpo, AP 96382
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1669237236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0102209499
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
480 CENTRAL AVE, Jbphh, HI 96860

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Nurse Practitioner (Family)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860

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 Michelle Tan's NPI number?

The NPI number for Michelle Tan is 1669237236. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Michelle Tan located?

Michelle Tan practices at 480 Central Ave, Jbphh, HI 96860. The listed phone number is (808) 448-3285.

What is Michelle Tan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Michelle Tan was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.