Individual provider Active NPI

Tyler Lee Kolb, RBT, NBC-HWC

  • Behavior Technician
  • Kahului, HI
National Provider Identifier
1982184222
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.