Active NPI
Trinity Michael Hall I
- Behavior Technician
- Lenexa, KS
National Provider Identifier
1023664331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-95553
- Practice address
- 12760 W 87TH Street Pkwy Ste 100
Lenexa, KS 66215-2878 - Phone
- (667) 444-9002
- NPI assigned
- Aug 13, 2019
- Last updated
- Aug 13, 2019
- Sex
- Male
- 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 | RBT-19-95553 | KS | Primary |
Addresses
Primary practice location
12760 W 87TH Street Pkwy Ste 100
Lenexa, KS 66215-2878
Mailing address
19217 36TH Ave W Ste 210
Lynnwood, WA 98036-5751
Phone (657) 444-9002
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-95553 | KS | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1023664331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19217 36TH AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365751",
"telephone_number": "657-444-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12760 W 87TH STREET PKWY STE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662152878",
"telephone_number": "667-444-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TRINITY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "RBT-19-95553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.