Kellie Bird, M.ED.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262

Phone

(808) 585-1424

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Shanahan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Hawaii Behavioral Health, LLC

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1699430777
  NPD
• Hawaii Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1881742104
  NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1336806157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101A SIGNER BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184924",
            "telephone_number": "410-960-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD STE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144262",
            "telephone_number": "808-585-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "KELLIE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "SHANAHAN",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bio-Medical Applications of California, Inc. (FMC Honolulu Dialysis Center)
• Bio-Medical Applications of California, Inc. (Fresenius Medical Care Kapahulu)
• Quashekia Birchmore
• Anela Bird, LAC
• Hannah Elizabeth Bird, PA-C
• Birendra S. Huja M.D. Inc
• Birendra S. Huja M.D. Inc.
• Samuel Birer, MD
• Julia Katherine Birney, RBT
• Janice D Birnie, CRNA

• Behavior Technician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.