Active NPI
Amber Waitcus Pickett, AUD
- Audiologist
- Kapolei, HI
National Provider Identifier
1295394484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1380A
- Practice address
- 91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707-2185 - Phone
- (808) 433-0600
- NPI assigned
- Jun 11, 2019
- Last updated
- Oct 1, 2024
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1380A | AL | Primary |
Addresses
Primary practice location
91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707-2185
Mailing address
146 Hazard Ave Ste 204
Enfield, CT 06082-4566
Phone (860) 763-3243
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380A | AL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael P. Bernstein, MD | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1295394484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 HAZARD AVE STE 204",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824566",
"telephone_number": "860-763-3243",
"fax_number": "860-763-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1051 FRANKLIN D ROOSEVELT AVE",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072185",
"telephone_number": "808-433-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "AMBER",
"middle_name": "WAITCUS",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1380A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.