Active NPI
Beth Ellen Fleming, MASTER SOCIAL WORKER
- Counselor
- Keaau, HI
National Provider Identifier
1780933606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 16-1781 40TH Street
Keaau, HI 96749 - Phone
- (208) 406-3170
- NPI assigned
- Sep 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
16-1781 40TH Street
Keaau, HI 96749
Mailing address
P.O.Box 492564
Keaau, HI 96749-2564
Phone (208) 406-3170
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": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1780933606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 492564",
"city": "KEAAU",
"state": "HI",
"postal_code": "967492564",
"telephone_number": "208-406-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-1781 40TH STREET",
"city": "KEAAU",
"state": "HI",
"postal_code": "96749",
"telephone_number": "208-406-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "BETH",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MASTER SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.