Active NPI
Megan Kessler
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1083189682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11832133
- Practice address
- 2270 Lake Ave
Fort Wayne, IN 46805-5359 - Phone
- (888) 667-1181
- NPI assigned
- Oct 10, 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 Analyst | 103K00000X | 11832133 | IN | Primary |
Addresses
Primary practice location
2270 Lake Ave
Fort Wayne, IN 46805-5359
Mailing address
2270 Lake Ave
Fort Wayne, IN 46805-5359
Phone (888) 667-1181
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 |
|---|---|---|---|
| 11832133 | IN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1083189682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055359",
"telephone_number": "888-667-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055359",
"telephone_number": "888-667-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "11832133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.