Active NPI
Jessica Ann McGlaughlin
- Behavior Analyst
- Lihue, HI
National Provider Identifier
1194187120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-463
- Practice address
- 3175 Elua St Ste B
Lihue, HI 96766-1203 - Phone
- (808) 246-4808
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | BA-463 | HI | Primary |
Addresses
Primary practice location
3175 Elua St Ste B
Lihue, HI 96766-1203
Mailing address
2127B Kelikoli St
Lihue, HI 96766-8956
Phone (808) 443-4317
Other names 1
- Jessica Ann Whitman
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 |
|---|---|---|---|
| BA-463 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1194187120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127B KELIKOLI ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967668956",
"telephone_number": "808-443-4317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 ELUA ST STE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661203",
"telephone_number": "808-246-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLAUGHLIN",
"first_name": "JESSICA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2021-02-03",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WHITMAN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.