Individual provider Active NPI

Kristen Danks, BCBA

  • Behavior Analyst
  • Edgewood, KY
National Provider Identifier
1033712088
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45869 Issued in KY
Practice address
925 Dudley Pike
Edgewood, KY 41017-8120
Phone
(859) 360-3006
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-45869 KY Primary

Addresses

Primary practice location

925 Dudley Pike
Edgewood, KY 41017-8120

Mailing address

8 Creekside Cir
Erlanger, KY 41018-2614

Other practice location 1

8 Creekside Cir
Erlanger, KY 41018-2614
Phone (859) 620-8188

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Behavioral Health Group, LLC Behavior Analyst CurrentSince Nov 22, 2020 Accepting new patients

Locations

925 Dudley Rd
Edgewood, KY 41017
Phone (859) 303-9891

3580 Hargrave Ct
Hebron, KY 41048
Phone (859) 303-9891

5522 Taylor Mill Rd
Ste 10
Taylor Mill, KY 41015

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1033712088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CREEKSIDE CIR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DUDLEY PIKE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410178120",
            "telephone_number": "859-360-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Creekside Cir",
            "address_purpose": "LOCATION",
            "city": "Erlanger",
            "state": "KY",
            "postal_code": "410182614",
            "country_code": "US",
            "telephone_number": "859-620-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANKS",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-20-45869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.