Active NPI
Bettye Jill Gulman, O.T.R.
- Health Maintenance Organization
- Makawao, HI
National Provider Identifier
1962673582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- OT - 821
- Practice address
- 2055 Olinda Rd
Makawao, HI 96768-7130 - Phone
- (808) 572-4822
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | OT - 821 | HI | Primary |
Addresses
Primary practice location
2055 Olinda Rd
Makawao, HI 96768-7130
Mailing address
PO Box 1702
Makawao, HI 96768-1702
Phone (808) 572-4822
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT - 821 | HI | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1962673582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1702",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967681702",
"telephone_number": "808-572-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 OLINDA RD",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967687130",
"telephone_number": "808-572-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULMAN",
"first_name": "BETTYE",
"middle_name": "JILL",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "HI",
"license": "OT - 821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.