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1861102675 NPI number — KAREN ANN BELLISARIO

NPI Number: 1861102675
Health Care Provider/Practitioner: KAREN ANN BELLISARIO

Information about “1861102675” NPI (KAREN ANN BELLISARIO) exists in 1861102675 in HTML format HTML  |  1861102675 in plain Text format TXT  |  1861102675 in PDF (Portable Document Format) PDF  |  1861102675 in an XML format XML  formats.

NPI Number : 1861102675 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861102675",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELLISARIO",
    "FirstName": "KAREN",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "45-137 KOKOKAHI PL",
    "SecondLineMailingAddress": "KANEOHE",
    "MailingAddressCityName": "KANEOHE",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96744",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-349-3285",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "315 KUULEI RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KAILUA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96734-2702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-266-7878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2022",
    "LastUpdateDate": "03/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "373H00000X",
          "TaxonomyName": "Day Training/Habilitation Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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