Active NPI
Kerianne Krause
- Behavior Analyst
- Beaufort, SC
National Provider Identifier
1154787265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11521189
- Practice address
- 31 Professional Village Cir
Beaufort, SC 29907-1575 - Phone
- (843) 371-1602
- Fax
- (803) 905-4431
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 11521189 | SC | Primary |
Addresses
Primary practice location
31 Professional Village Cir
Beaufort, SC 29907-1575
Mailing address
PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283
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 |
|---|---|---|---|
| 11521189 | SC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Independence Together | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Walterboro, SC
- NPI 1568906394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1154787265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51322",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421025622",
"telephone_number": "270-777-9283",
"fax_number": "270-777-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PROFESSIONAL VILLAGE CIR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071575",
"telephone_number": "843-371-1602",
"fax_number": "803-905-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "KERIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "11521189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.