Active NPI
Krystle Merry, RBT
- Behavior Technician
- Fort Smith, AR
National Provider Identifier
1215501226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-167616
- Practice address
- 5704 Euper LN Ste 100
Fort Smith, AR 72903-3256 - Phone
- (479) 242-4480
- Fax
- (405) 336-3008
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-21-167616 | AR | Primary |
Addresses
Primary practice location
5704 Euper LN Ste 100
Fort Smith, AR 72903-3256
Mailing address
5704 Euper LN Ste 100
Fort Smith, AR 72903-3256
Phone (479) 242-4480
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 |
|---|---|---|---|
| RBT-21-167616 | AR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1215501226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5704 EUPER LN STE 100",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033256",
"telephone_number": "479-242-4480",
"fax_number": "405-336-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5704 EUPER LN STE 100",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033256",
"telephone_number": "479-242-4480",
"fax_number": "405-336-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRY",
"first_name": "KRYSTLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "RBT-21-167616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
- Mercy Pharmacy Services, LLC (Mercy Pharmacy Fort Smith)
- Mercy Rehabilitation Hospital, LLC (Mercy Rehabilitation Hospital)
- Demi Delise Merlino, APRN, MNSC
- Bryana Merrell, M.S., CCC-SLP
- Laquita S Merrell, M.S., CCC/SLP
- Andy Messenger, PT
- Kathryn Elizabeth Metcalf
- Kevin Blake Metcalf, RD
- Randy K Metcalf, MD
- Methodist Nursing Home of Fort Smith, Inc. (Methodist Health and Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.