Individual provider Active NPI

Kaylyn Damrill

  • Behavior Technician
  • Wahiawa, HI
National Provider Identifier
1821816042
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
115 Apono CT Unit 101
Wahiawa, HI 96786-3103
Phone
(253) 948-2882
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X HI Primary

Addresses

Primary practice location

115 Apono CT Unit 101
Wahiawa, HI 96786-3103

Mailing address

115 Apono CT Unit 101
Wahiawa, HI 96786-3103
Phone (253) 948-2882

Other names 1

  • Kaylyn Ledvina Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html Invo Healthcare

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1821816042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 APONO CT UNIT 101",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967863103",
            "telephone_number": "253-948-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 APONO CT UNIT 101",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967863103",
            "telephone_number": "253-948-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRILL",
        "first_name": "KAYLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Invo Healthcare",
            "address_1": "2791 Mogadore Rd",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443121504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLYN",
            "last_name": "LEDVINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.