Active NPI
Allison Suzanne Ott
- Behavior Technician
- Waukee, IA
National Provider Identifier
1033943246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 287 SE Westown Parkway
Waukee, IA 50263 - Phone
- (515) 446-3403
- NPI assigned
- Aug 29, 2024
- Sex
- Unspecified or another gender identity
- 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 | 106S00000X | IA | Primary |
Addresses
Primary practice location
287 SE Westown Parkway
Waukee, IA 50263
Mailing address
316 3Rd Ave NW
Mount Vernon, IA 52314-1322
Phone (319) 929-9447
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 |
|---|---|---|---|
| 106S00000X | IA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1033943246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 3RD AVE NW",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141322",
"telephone_number": "319-929-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 SE WESTOWN PARKWAY",
"city": "WAUKEE",
"state": "IA",
"postal_code": "50263",
"telephone_number": "515-446-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "ALLISON",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.