Jade Bateast

Key facts

NPI

1063220184

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

2314 Miami St
South Bend, IN 46614-1336

Phone

(574) 329-6856

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2024.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1063220184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 RUE RENOIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MIAMI ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141336",
            "telephone_number": "574-329-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEAST",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

• Matthew B Bartlett, O.D.
• Zane Nathaniel Bartlett
• Alyssa Barton, RBT
• Douglas H. Barton, DDS
• Jessica Marie Basham, M.D.
• Amanda Bates, MS ED
• Ashlee Bates
• Sharday Bates
• Alyssa Batey, RBT
• Thomas Palmer Bathrick, D.O.

All providers in South Bend, IN · Behavior Technician in Indiana