NPIMap

Organization Active NPI

Kat Jackson LLC

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1174190334
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KAT JACKSON LLC
Practice address
1401 Lusitana St Apt 304
Honolulu, HI 96813-2041
Phone
(808) 780-9399
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Kathryn Jackson, M.ED., BCBA, LBANPI 1558829861
Title
Owner
Phone
(808) 780-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1401 Lusitana St Apt 304
Honolulu, HI 96813-2041

Mailing address

1401 Lusitana St Apt 304
Honolulu, HI 96813-2041
Phone (808) 780-9399

Other identifiers 1

IdentifierTypeStateIssuer
1558829861MedicaidAL

Other names 1

  • New Day Hawaii Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katjackson@newdayhawaii.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1174190334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LUSITANA ST APT 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132041",
            "telephone_number": "808-780-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LUSITANA ST APT 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132041",
            "telephone_number": "808-780-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAT JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-780-9399",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558829861",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katjackson@newdayhawaii.com",
            "affiliation": "N",
            "address_1": "1401 Lusitana St Apt 304",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Day Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.