Active NPI
Natalie Rebecca Punkay
- Behavior Technician
- Muskegon, MI
National Provider Identifier
1023627445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 715 Terrace St Ste 201
Muskegon, MI 49440-1107 - Phone
- (800) 644-2434
- NPI assigned
- Jul 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
715 Terrace St Ste 201
Muskegon, MI 49440-1107
Mailing address
715 Terrace St Ste 201
Muskegon, MI 49440-1107
Phone (800) 644-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382227805 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1023627445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 TERRACE ST STE 201",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401107",
"telephone_number": "800-644-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 TERRACE ST STE 201",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401107",
"telephone_number": "800-644-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNKAY",
"first_name": "NATALIE",
"middle_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382227805",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.