Active NPI
Deena Lee Gulezian, M.S., CCC-SLP
- Speech-Language Pathologist
- Kapolei, HI
National Provider Identifier
1568677698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0474
- Practice address
- 575 Farrington Hwy
Kapolei, HI 96707-2001 - Phone
- (808) 674-9262
- Fax
- (808) 674-8481
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0474 | HI | Primary |
Addresses
Primary practice location
575 Farrington Hwy
Kapolei, HI 96707-2001
Mailing address
92-1195 Palahia Street
Unit L201
Kapolei, HI 96707
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0474 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568677698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-1195 PALAHIA STREET",
"address_2": "UNIT L201",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "96707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 FARRINGTON HWY",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072001",
"telephone_number": "808-674-9262",
"fax_number": "808-674-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULEZIAN",
"first_name": "DEENA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "0474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.