Individual provider Active NPI

Samantha Loy

  • Behavior Technician
  • Columbia, KY
National Provider Identifier
1144044967
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
220 Office Park Dr
Columbia, KY 42728-1381
Phone
(270) 250-5070
Fax
(270) 380-1711
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

220 Office Park Dr
Columbia, KY 42728-1381

Mailing address

203 Burkesville St Ste 101
Columbia, KY 42728-1900
Phone (270) 250-5070

Other practice location 1

203 Burkesville St Ste 101
Columbia, KY 42728-1900
Phone (270) 250-5070

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
Gracie Behavior Associates, LLC CurrentSince Nov 10, 2024 Accepting new patients
Gracie Behavior Associates, LLC Behavior Technician CurrentSince Nov 10, 2024 Accepting new patients

Locations

220 Office Park Dr
Columbia, KY 42728
Phone (270) 250-5070

203 Burkesville St
Ste 101
Columbia, KY 42728
Phone (270) 250-5070

Organizations & group practices 2

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1144044967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BURKESVILLE ST STE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281900",
            "telephone_number": "270-250-5070",
            "fax_number": "270-380-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 OFFICE PARK DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281381",
            "telephone_number": "270-250-5070",
            "fax_number": "270-380-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Burkesville St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427281900",
            "country_code": "US",
            "telephone_number": "270-250-5070",
            "fax_number": "270-380-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.