Active NPI
Kelli Minton
- Behavior Technician
- Portland, OR
National Provider Identifier
1073014601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7035 NE 9TH Ave
Portland, OR 97211 - Phone
- (855) 832-6727
- NPI assigned
- Feb 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7035 NE 9TH Ave
Portland, OR 97211
Mailing address
1100 Dexter Ave N
Seattle, WA 98109-3598
Other practice location 1
1100 Dexter Ave N Ste 100
Seattle, WA 98109-3598
Phone (855) 832-6727 ext. 2531
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073014601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 DEXTER AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7035 NE 9TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97211",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "1100 Dexter Ave N Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981093598",
"country_code": "US",
"telephone_number": "855-832-6727 x2531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINTON",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.