Active NPI
Reilyenne Pomai Nahulu
- Behavior Technician
- Aiea, HI
National Provider Identifier
1396462834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-238683
- Practice address
- 98-820 Moanalua Rd
Aiea, HI 96701-5200 - Phone
- (808) 312-2703
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-238683 | HI | Primary |
Addresses
Primary practice location
98-820 Moanalua Rd
Aiea, HI 96701-5200
Mailing address
95-1006 Halekua St
Mililani, HI 96789-5509
Phone (808) 312-2703
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-22-238683 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1396462834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1006 HALEKUA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967895509",
"telephone_number": "808-312-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-820 MOANALUA RD",
"city": "AIEA",
"state": "HI",
"postal_code": "967015200",
"telephone_number": "808-312-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHULU",
"first_name": "REILYENNE",
"middle_name": "POMAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-22-238683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.