Active NPI
Tyler Lee Kolb, RBT, NBC-HWC
- Behavior Technician
- Kahului, HI
National Provider Identifier
1982184222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 427 Ala Makani St
Kahului, HI 96732-3571 - Phone
- (808) 204-2893
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3532190 | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
427 Ala Makani St
Kahului, HI 96732-3571
Mailing address
495 Liholiho St Apt 107
Wailuku, HI 96793-2678
Phone (732) 814-0152
Other practice location 1
4719 Viewridge Ave Ste 100
San Diego, CA 92123-1685
Phone (866) 727-8274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1982184222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 LIHOLIHO ST APT 107",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932678",
"telephone_number": "732-814-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 ALA MAKANI ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323571",
"telephone_number": "808-204-2893"
}
],
"practiceLocations": [
{
"address_1": "4719 Viewridge Ave Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231685",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLB",
"first_name": "TYLER",
"middle_name": "LEE",
"credential": "RBT, NBC-HWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "A-3532190",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.