Shavaun Erin Gilliland, LMT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1221 Kilauea Ave Ste 60
Hilo, HI 96720-4264

Phone

(808) 687-0117

NPI assigned

Jan 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720318314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LOMAS BLVD NW",
            "address_2": "SUITE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021962",
            "telephone_number": "505-967-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KILAUEA AVE STE 60",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204264",
            "telephone_number": "808-687-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Lomas Blvd NW",
            "address_2": "suite 2a",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871021962",
            "country_code": "US",
            "telephone_number": "505-967-5358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "SHAVAUN",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "6459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Marie Germano, DMD
• Manas K Ghosh, MD
• Phillip Giacobbi, PHARM.D. RPH
• Sandra Denise Giel, RN
• Lily J. Gillespie, MD
• Gina Reyes, Psy.D. LLC
• Kimberly Gitzel, L.AC.
• Jennifer Mae Goaring, CNM
• Stephanie Goddard, L.M.T.
• Christopher Godla, D.M.D.

• Behavior Technician in Hilo, HI
• Providers in Hilo, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.