Kathryn Elizabeth Rahn, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-304443 Issued in SC

Practice address

3921 Pintail Dr Ste B
Springfield, IL 62711-6738

Phone

(502) 297-0133

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springhealth Behavioral Health and Integrated Care Illinois, LLC

  • Behavior Analyst
  • Springfield, IL
  • NPI 1063005288
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1205682408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "502-297-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "502-297-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-23-304443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soomal Rafique, MD
• Nyasia Raglin
• Jane Candace Rago, C.F.O.
• Katlynn Ragsdale, RBT
• Rachel Lynn Rahman, M.D.
• Rai Care Centers of Illinois II, LLC (Rai-Centre West-Springfield)
• Bronwyn Rains, LCPC
• Raj Dhamrait D.D.S, P.C.
• Nisha Raja-Rahman, M.D.
• Bharath Rajagopalan, M.B.,B.S

• Behavior Technician in Springfield, IL
• Providers in Springfield, IL by specialty
• Behavior Technician in Illinois

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