Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Phylavanh Phanhtharath, ACNS-BC

Individual provider Adult Health Clinical Nurse Specialist · NPI 1265965321

MS. Phylavanh Phanhtharath, ACNS-BC is a Nurse Practitioner in Hilo, Hawaii. Qualified in 2010, 16 years ago. Practices with Kau Hospital, a 135-clinician group and accepts Medicare assignment. Licensed in Hawaii and Texas.

Years since qualifying
16
Licensed in
HI, TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1190 Waianuenue Ave
Hilo, HI 96720-2094
Phone: (808) 932-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Hospital (primary) Taxonomy 283X00000X · Licence AP133384 (TX)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence APRN-2756 (HI)

Record details

NPI number1265965321
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNS-BC
Sole proprietorYes
NPI enumeratedApril 6, 2017
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kau Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare