Active NPI
Zachary Tyler Newman
- Behavior Analyst
- Lee's Summit, MO
National Provider Identifier
1023761426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2022002955
- Practice address
- 520 NE Colbern Rd Ste 200
Lees Summit, MO 64086-4711 - Phone
- (816) 516-3178
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 2022002955 | MO | Primary |
Addresses
Primary practice location
520 NE Colbern Rd Ste 200
Lees Summit, MO 64086-4711
Mailing address
900 NW 4TH St
Oak Grove, MO 64075-8597
Phone (816) 516-3178
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 |
|---|---|---|---|
| 2022002955 | MO | MD | Behavioral Analyst |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1023761426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NW 4TH ST",
"city": "OAK GROVE",
"state": "MO",
"postal_code": "640758597",
"telephone_number": "816-516-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NE COLBERN RD STE 200",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864711",
"telephone_number": "816-516-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "ZACHARY",
"middle_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2022002955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.