Individual provider Active NPI

Samantha Jordan Windh

  • Behavior Technician
  • Kailua, HI
National Provider Identifier
1265055834
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669
Phone
(808) 247-2973
Fax
(808) 427-3472
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669

Mailing address

2117 Palolo Ave Apt F
Honolulu, HI 96816-3022
Phone (530) 306-6236

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

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1265055834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 PALOLO AVE APT F",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163022",
            "telephone_number": "530-306-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 KALANIANAOLE HWY SPC 5001",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344669",
            "telephone_number": "808-247-2973",
            "fax_number": "808-427-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDH",
        "first_name": "SAMANTHA",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.