Active NPI
Kristin Michelle Keast, PH.D.
- Clinical Psychologist
- Kaneohe, HI
National Provider Identifier
1790719763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 778
- Practice address
- 46-001 Kamehameha Hwy Ste 409
Kaneohe, HI 96744-3749 - Phone
- (808) 561-2305
- Fax
- (808) 737-1010
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 778 | HI | Primary |
| Clinical Psychologist | 103TC0700X | PSY 16522 | CA |
Addresses
Primary practice location
46-001 Kamehameha Hwy Ste 409
Kaneohe, HI 96744-3749
Mailing address
4300 Waialae Ave Apt A905
Honolulu, HI 96816-5740
Phone (808) 561-2305
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244392 | Other | HI | TRICARE |
| 244392 | Other | HI | HMSA |
| 554792-01 | Medicaid | HI |
Other names 1
- Dr. Kristin Michelle Dixon
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | HI | MD | Mental Health Counselor |
| PSY 16522 | CA | MD | Clinical Psychologist |
| PSY 778 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790719763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 WAIALAE AVE APT A905",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165740",
"telephone_number": "808-561-2305",
"fax_number": "808-737-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY STE 409",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443749",
"telephone_number": "808-561-2305",
"fax_number": "808-737-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAST",
"first_name": "KRISTIN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 778",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 16522",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "244392",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "244392",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "554792-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "DIXON",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.