Active NPI
Kree Bayne
- Behavior Technician
- Detroit, MI
National Provider Identifier
1225565476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 79 W Alexandrine St
Detroit, MI 48201 - Phone
- (313) 831-5535
- Fax
- (313) 831-2608
- NPI assigned
- May 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
79 W Alexandrine St
Detroit, MI 48201
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unknown | ||
| Other URL | Unknown |
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": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1225565476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012015",
"telephone_number": "313-831-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-831-5535",
"fax_number": "313-831-2608"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYNE",
"first_name": "KREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "unknown",
"affiliation": "N",
"address_1": "79 W Alexandrine St",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Unknown",
"affiliation": "N",
"address_1": "79 W Alexandrine St",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.