Individual provider Active NPI

Nastassia Renee Haten, CPT

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1861995656
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1100 Alakea St
Honolulu, HI 96813-2833
Phone
(808) 523-7771
Fax
(808) 523-1997
NPI assigned
Mar 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 Primary

Addresses

Primary practice location

1100 Alakea St
Honolulu, HI 96813-2833

Mailing address

2896 Kumakalii St
Wahiawa, HI 96786-7061
Phone (504) 292-1509

Other names 1

  • Mrs. Nastassia Renee Jones Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alakai NA Keiki Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861995656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 KUMAKALII ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967867061",
            "telephone_number": "504-292-1509",
            "fax_number": "504-292-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALAKEA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132833",
            "telephone_number": "808-523-7771",
            "fax_number": "808-523-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATEN",
        "first_name": "NASTASSIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASTASSIA",
            "last_name": "JONES",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.