Individual provider Active NPI

Maegan Dioquino Fagaragan

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1447907480
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1390 Miller St
Honolulu, HI 96813-2493
Phone
(808) 586-4997
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X H01437407 HI
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1390 Miller St
Honolulu, HI 96813-2493

Mailing address

94-1075 Haalau St
Waipahu, HI 96797-4540
Phone (808) 304-6659

Other practice location 1

94-1075 Haalau St
Waipahu, HI 96797-4540
Phone (808) 664-3586

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

LicenseStateTypeSpecialty
H01437407HIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1447907480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1075 HAALAU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974540",
            "telephone_number": "808-304-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MILLER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132493",
            "telephone_number": "808-586-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1075 Haalau St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967974540",
            "country_code": "US",
            "telephone_number": "808-664-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGARAGAN",
        "first_name": "MAEGAN",
        "middle_name": "DIOQUINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "HI",
            "license": "H01437407",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.