Individual provider Active NPI

Gesine Dommer

  • Behavior Analyst
  • Kamuela, HI
National Provider Identifier
1669860771
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
65-1279 Kawaihae Rd
Suite 201
Kamuela, HI 96743-8444
Phone
(808) 887-0747
Fax
(808) 887-0741
NPI assigned
Dec 26, 2014
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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 Primary

Addresses

Primary practice location

65-1279 Kawaihae Rd
Suite 201
Kamuela, HI 96743-8444

Mailing address

PO Box 6406
Kamuela, HI 96743-6406
Phone (808) 217-5268

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

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1669860771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6406",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436406",
            "telephone_number": "808-217-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1279 KAWAIHAE RD",
            "address_2": "SUITE 201",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438444",
            "telephone_number": "808-887-0747",
            "fax_number": "808-887-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMER",
        "first_name": "GESINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.