Active NPI
Dennise Sierra
- Behavior Analyst
- Mililani, HI
National Provider Identifier
1548639685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-511-0
- Practice address
- 100 Kahelu Ave Ste 110
Mililani, HI 96789-3913 - Phone
- (808) 625-3000
- Fax
- (808) 625-3006
- NPI assigned
- Sep 18, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-48278 | HI | |
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | BA-511-0 | HI | Primary |
Addresses
Primary practice location
100 Kahelu Ave Ste 110
Mililani, HI 96789-3913
Mailing address
100 Kahelu Ave Ste 110
Mililani, HI 96789-3913
Phone (808) 625-3000
Other practice location 1
6867 Southpoint Dr N
Jacksonville, FL 32216-8043
Phone (904) 619-6071
Other practice location 2
95-984 Ukuwai St Apt 701
Mililani, HI 96789-6025
Phone (707) 342-2748
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-511-0 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1548639685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 110",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000",
"fax_number": "808-625-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 110",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000",
"fax_number": "808-625-3006"
}
],
"practiceLocations": [
{
"address_1": "6867 Southpoint Dr N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322168043",
"country_code": "US",
"telephone_number": "904-619-6071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95-984 Ukuwai St Apt 701",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967896025",
"country_code": "US",
"telephone_number": "707-342-2748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIERRA",
"first_name": "DENNISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "HI",
"license": "1-21-48278",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-511-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.