Tamra Lynn Gossard

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

140 Uwapo Rd Apt 48-105
Kihei, HI 96753-7443

Phone

(480) 251-4042

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tamra Lynn Martinez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1013143502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 UWAPO RD APT 48-105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537443",
            "telephone_number": "480-251-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 UWAPO RD APT 48-105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537443",
            "telephone_number": "480-251-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Hausten St Apt E",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968264549",
            "country_code": "US",
            "telephone_number": "208-661-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSSARD",
        "first_name": "TAMRA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRA",
            "last_name": "MARTINEZ",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Gonnelly
• Sarah Gontoski, PT
• Henrietta Gonzalez
• Jonathan Gonzalez
• Cailin Goodier
• Katherine M Gravesen, D.C
• Kathleen Elizabeth Gregory, DACM
• Bernadette Elizabeth Griebenow, LMT
• Marcus Griffin, M.D.
• Laura Grooms

• All providers in Kihei, HI
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.