Islandhealth.Vip

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

ISLANDHEALTH.VIP

Doing business as

IslandHealth.VIP

Practice address

2439 S Kihei Rd
Kihei, HI 96753-7283

Phone

(808) 336-2611

NPI assigned

Oct 11, 2023

Organization subpart

Yes

Parent organization

GO DEHP LLCAs reported in NPPES

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

Authorized official

Name

Josette Sullins

Title

Ceo/Founder

Phone

(480) 225-0555

Specialties & licenses 4

Addresses

Other names 1

• IslandHealth.VIP Doing business as

Tax ID family

Go Dehp LLC3 organizations share this tax ID, including this one

Part of

Go Dehp LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Go Dehp LLC

  • Integrative Medicine Physician
  • Phoenix, AZ
  • NPI 1417738824
  NPD tax ID
• Go Dehp LLC

  • Exercise & Sports Psychologist
  • Phoenix, AZ
  • NPI 1477328623
  NPD tax ID

Locations

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1861273278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE STE 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121918",
            "telephone_number": "480-255-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 S KIHEI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537283",
            "telephone_number": "808-336-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDHEALTH.VIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GO DEHP LLC",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SULLINS",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "480-225-0555"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IslandHealth.VIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Integrative Medicine Physician in Kihei, HI
• Providers in Kihei, HI by specialty
• Integrative Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.