NPIMap

Individual provider Active NPI

Walter Kuethman

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1134572415
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5496 Coconut Blvd
West Palm Beach, FL 33411-8542
Phone
(561) 305-7268
Fax
(561) 508-7494
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

5496 Coconut Blvd
West Palm Beach, FL 33411-8542

Mailing address

5496 Coconut Blvd
West Palm Beach, FL 33411-8542
Phone (561) 305-7268

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
Royal Paradise Group Home Inc Behavior Analyst Past Accepting new patients
Essential Wellness of South Florida Inc Behavior Analyst Past Accepting new patients
Royal Paradise Group Home Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1134572415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 COCONUT BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118542",
            "telephone_number": "561-305-7268",
            "fax_number": "561-508-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 COCONUT BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118542",
            "telephone_number": "561-305-7268",
            "fax_number": "561-508-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUETHMAN",
        "first_name": "WALTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.