Individual provider Active NPI

Annabelle Elaydo Rosete

  • Behavior Technician
  • Waipahu, HI
National Provider Identifier
1437826450
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
94-1011 Nalii St
Waipahu, HI 96797-3337
Phone
(808) 799-3323
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

94-1011 Nalii St
Waipahu, HI 96797-3337

Mailing address

94-1011 Nalii St
Waipahu, HI 96797-3337
Phone (808) 799-3323

Other identifiers 1

IdentifierTypeStateIssuer
61014002OtherHIPSWA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL PSWA
CONNECT URL PSWA

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

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1437826450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1011 NALII ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973337",
            "telephone_number": "808-799-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1011 NALII ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973337",
            "telephone_number": "808-799-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETE",
        "first_name": "ANNABELLE",
        "middle_name": "ELAYDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSWA",
            "identifier": "61014002",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PSWA",
            "affiliation": "N",
            "address_1": "94-1011 Nalii St",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PSWA",
            "affiliation": "N",
            "address_1": "94-1011 Nalii St",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 26, 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.