Taylor Peavy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1001 Kamokila Blvd Ste 210
Kapolei, HI 96707-2096

Phone

(808) 591-6060

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1396225231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 210",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 210",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072096",
            "telephone_number": "808-591-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-849 Lumiaina St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967975677",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99-870 Iwaena St # 101",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967013278",
            "country_code": "US",
            "telephone_number": "808-277-7736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Pascual, CNA
• Vanessa Pasion
• Grace Louise Pate
• Jaydan Carl Lazo Payumo
• Peace & Purpose, LLC
• Nataliya Gurevich Peck, LMT
• Pele Pelesasa
• Amaris Nalani Peneku
• Alexis Jordan Perez, BSN RN
• Isabella Perez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.