Individual provider Active NPI

Andrea Denise Preuit, RBT

  • Behavior Technician
  • Lihue, HI
National Provider Identifier
1972210987
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-173986 Issued in HI
Practice address
4380 Hanamaulu Rd
Lihue, HI 96766-9162
Phone
(808) 241-3150
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 RBT-21-173986 HI Primary

Addresses

Primary practice location

4380 Hanamaulu Rd
Lihue, HI 96766-9162

Mailing address

4380 Hanamaulu Rd
Lihue, HI 96766-9162
Phone (808) 241-3150

Other names 1

  • Andrea Hurtado Other 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

State licenses

LicenseStateTypeSpecialty
RBT-21-173986HIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1972210987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 HANAMAULU RD",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669162",
            "telephone_number": "808-241-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 HANAMAULU RD",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669162",
            "telephone_number": "808-241-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUIT",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-21-173986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HURTADO",
            "credential": "RBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.