Active NPI
Kaytlin Denise Coomer, RBT
- Behavior Technician
- New Castle, IN
National Provider Identifier
1043025471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-296379
- Practice address
- 3011 S 14TH St
New Castle, IN 47362-1845 - Phone
- (765) 465-4290
- NPI assigned
- Feb 12, 2025
- Last updated
- Feb 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN | ||
| Behavior Technician | 106S00000X | RBT-23-296379 | IN | Primary |
Addresses
Primary practice location
3011 S 14TH St
New Castle, IN 47362-1845
Mailing address
1409 S 20TH St
New Castle, IN 47362-2511
Phone (765) 520-8828
Other practice location 1
3310 Main St
Anderson, IN 46013-4264
Phone (765) 615-4632
Other practice location 2
3300 Main St
Anderson, IN 46013-4233
Phone (765) 400-4258
Other practice location 3
3084 Broadway St
Anderson, IN 46012-1258
Phone (765) 400-4021
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-23-296379 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1043025471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 S 20TH ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473622511",
"telephone_number": "765-520-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 S 14TH ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473621845",
"telephone_number": "765-465-4290"
}
],
"practiceLocations": [
{
"address_1": "3310 Main St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460134264",
"country_code": "US",
"telephone_number": "765-615-4632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Main St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460134233",
"country_code": "US",
"telephone_number": "765-400-4258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3084 Broadway St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460121258",
"country_code": "US",
"telephone_number": "765-400-4021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOMER",
"first_name": "KAYTLIN",
"middle_name": "DENISE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-23-296379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.