Individual provider Active NPI

Frederek Joe Charles Drone

  • Behavior Analyst
  • Lawrence, KS
National Provider Identifier
1164086898
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1737 Tennessee St Apt 3
Lawrence, KS 66044-4138
Phone
(913) 710-6870
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 KS Primary

Addresses

Primary practice location

1737 Tennessee St Apt 3
Lawrence, KS 66044-4138

Mailing address

1737 Tennessee St Apt 3
Lawrence, KS 66044-4138
Phone (913) 710-6870

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

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1164086898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 TENNESSEE ST APT 3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444138",
            "telephone_number": "913-710-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 TENNESSEE ST APT 3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444138",
            "telephone_number": "913-710-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRONE",
        "first_name": "FREDEREK",
        "middle_name": "JOE CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.