Active NPI
Katelyn Parker, RBT
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1356862924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-72689
- Practice address
- 94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388 - Phone
- (808) 944-2882
- NPI assigned
- Jul 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Technician | 106S00000X | RBT-18-72689 | MA | Primary |
Addresses
Primary practice location
94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388
Mailing address
1970 Hanalima St Apt K201
Lihue, HI 96766-8933
Phone (774) 404-0121
Other practice location 1
45R Washington St
Norwell, MA 02061-1715
Phone (781) 923-0900
Other practice location 2
45R Washington St
Norwell, MA 02061-1715
Phone (781) 923-0900
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 |
|---|---|---|---|
| RBT-18-72689 | MA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Pediatrics, LLC | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Denver, CO
- NPI 1376078378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670025600000",
"number": "1356862924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 HANALIMA ST APT K201",
"city": "LIHUE",
"state": "HI",
"postal_code": "967668933",
"telephone_number": "774-404-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-450 MOKUOLA ST STE 100",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973388",
"telephone_number": "808-944-2882"
}
],
"practiceLocations": [
{
"address_1": "45R Washington St",
"address_purpose": "LOCATION",
"city": "Norwell",
"state": "MA",
"postal_code": "020611715",
"country_code": "US",
"telephone_number": "781-923-0900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45R Washington St",
"address_purpose": "LOCATION",
"city": "Norwell",
"state": "MA",
"postal_code": "020611715",
"country_code": "US",
"telephone_number": "781-923-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "KATELYN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-04",
"last_updated": "2022-12-03",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": "RBT-18-72689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.