Individual provider Active NPI

Madisen Kay McCarthy, RBT

  • Behavior Technician
  • Omaha, NE
National Provider Identifier
1174265367
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-325413 Issued in NE
Practice address
11112 John Galt Blvd Ste 100
Omaha, NE 68137-9838
Phone
(402) 252-4438
Fax
(646) 859-4440
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 RBT-24-325413 NE Primary

Addresses

Primary practice location

11112 John Galt Blvd Ste 100
Omaha, NE 68137-9838

Mailing address

11112 John Galt Blvd Ste 100
Omaha, NE 68137-9838
Phone (402) 252-4438

Other names 1

  • Madisen Kay Kucera Former name

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

LicenseStateTypeSpecialty
RBT-24-325413NEMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1174265367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 JOHN GALT BLVD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681379838",
            "telephone_number": "402-252-4438",
            "fax_number": "646-859-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 JOHN GALT BLVD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681379838",
            "telephone_number": "402-252-4438",
            "fax_number": "646-859-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MADISEN",
        "middle_name": "KAY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NE",
            "license": "RBT-24-325413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISEN",
            "last_name": "KUCERA",
            "middle_name": "KAY",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.