Active NPI
Jenny Bleecker
- Behavior Analyst
- Hilo, HI
National Provider Identifier
1447744719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-504
- Practice address
- 1221 Kilauea Ave Ste 60
Hilo, HI 96720-4264 - Phone
- (808) 969-9622
- NPI assigned
- Jun 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA-504 | HI | Primary |
Addresses
Primary practice location
1221 Kilauea Ave Ste 60
Hilo, HI 96720-4264
Mailing address
PO Box 2073
Pahoa, HI 96778-2073
Phone (808) 854-5343
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 |
|---|---|---|---|
| BA-504 | HI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Care | Past | Accepting new patients | |
| B.C.P., Inc. Dba/ Bayada Home Health Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Hilo, HI
- NPI 1073902912
-
- In Home Supportive Care Agency
- Hilo, HI
- NPI 1053790634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1447744719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2073",
"city": "PAHOA",
"state": "HI",
"postal_code": "967782073",
"telephone_number": "808-854-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 KILAUEA AVE STE 60",
"city": "HILO",
"state": "HI",
"postal_code": "967204264",
"telephone_number": "808-969-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEECKER",
"first_name": "JENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.