Individual provider Active NPI

Kathryn Ann Remijio

  • Behavior Technician
  • Bellevue, NE
National Provider Identifier
1124752894
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1001 Fort Crook Rd. N, Suite 204
Bellevue, NE 68005-4247
Phone
(844) 743-6506
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1001 Fort Crook Rd. N, Suite 204
Bellevue, NE 68005-4247

Mailing address

8300 Jefferson NE Suite B
Albuquerque, NM 87113

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

1001 Fort Crook Rd N
Ste 204
Bellevue, NE 68005
Phone (402) 432-0377

11906 Arbor St
Omaha, NE 68144
Phone (314) 834-8010

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1124752894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON NE SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FORT CROOK RD. N, SUITE 204",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054247",
            "telephone_number": "844-743-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIJIO",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.