Active NPI
Shanon Isokane, RBT
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1053860940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-82473
- Practice address
- 94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388 - Phone
- (808) 944-2882
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- 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 | 19-82473 | HI | Primary |
Addresses
Primary practice location
94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388
Mailing address
2015 Wilder Ave Apt 3H
Honolulu, HI 96822-3382
Phone (808) 392-4766
Other practice location 1
2015 Wilder Ave Apt 3H
Honolulu, HI 96822-3382
Phone (808) 392-4766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-82473 | Other | BACB |
Other names 1
- Shanon Sue
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 |
|---|---|---|---|
| 19-82473 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1053860940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 WILDER AVE APT 3H",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223382",
"telephone_number": "808-392-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-450 MOKUOLA ST STE 100",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973388",
"telephone_number": "808-944-2882"
}
],
"practiceLocations": [
{
"address_1": "2015 Wilder Ave Apt 3H",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968223382",
"country_code": "US",
"telephone_number": "808-392-4766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISOKANE",
"first_name": "SHANON",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "19-82473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-19-82473",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANON",
"last_name": "SUE",
"credential": "RBT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.