Individual provider Active NPI

Paige Nicole Stegeman

  • Behavior Analyst
  • Kailua Kona, HI
National Provider Identifier
1578038303
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-364 Issued in HI
Practice address
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone
(808) 746-1779
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-364 HI Primary

Addresses

Primary practice location

74-5078 Kumakani St
Kailua Kona, HI 96740-1530

Mailing address

74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone (808) 746-1779

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
BA-364HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sharky Hearts Behavior Support Services LLC Behavior Analyst CurrentSince May 7, 2023 Accepting new patients
Mau Loa Learning Behavior Technician 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1578038303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-5078 KUMAKANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401530",
            "telephone_number": "808-746-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5078 KUMAKANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401530",
            "telephone_number": "808-746-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMAN",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.