Active NPI
Kelby Kaaekuahiwi
- Behavior Technician
- Kapa'au, HI
National Provider Identifier
1033836390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-120705
- Practice address
- 54-3611 Akoni Pule Highway
Kapaau, HI 96755 - Phone
- (808) 889-7117
- NPI assigned
- Oct 26, 2022
- Last updated
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-120705 | HI | Primary |
Addresses
Primary practice location
54-3611 Akoni Pule Highway
Kapaau, HI 96755
Mailing address
PO Box 687
Kapaau, HI 96755-0687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-120705 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1033836390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967550687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54-3611 AKONI PULE HIGHWAY",
"city": "KAPAAU",
"state": "HI",
"postal_code": "96755",
"telephone_number": "808-889-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAAEKUAHIWI",
"first_name": "KELBY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-20-120705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapa'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.