Tiphany Anne Gillett
Individual provider Active NPI Counselor · Keaau, HI
NPI 1851664833 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1851664833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- HC 2 Box 6965
Keaau, HI 96749-8305 - Phone
- (808) 961-5166
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
HC 2 Box 6965
Keaau, HI 96749-8305
Mailing address
HC 2 Box 6965
Keaau, HI 96749-8305
Phone (808) 961-5166
Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.