Individual provider Active NPI

Dollyeanna Barber Wasson

  • Professional Counselor
  • Kailua, HI
National Provider Identifier
1902164718
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
130 Kuailima Dr
Kailua, HI 96734-3221
Phone
(808) 389-5592
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

130 Kuailima Dr
Kailua, HI 96734-3221

Mailing address

130 Kuailima Dr
Kailua, HI 96734-3221
Phone (808) 389-5592

Other names 1

  • Ms. Dollyeanna Barber 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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1902164718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KUAILIMA DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343221",
            "telephone_number": "808-389-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KUAILIMA DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343221",
            "telephone_number": "808-389-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "DOLLYEANNA",
        "middle_name": "BARBER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLLYEANNA",
            "last_name": "BARBER",
            "prefix": "MS.",
            "credential": "MED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.