Active NPI
Chloe M Kirkpatrick
- Assistant Behavior Analyst
- Omaha, NE
National Provider Identifier
1255997425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-22-13411
- Practice address
- 6902 Pine St
Omaha, NE 68106-2855 - Phone
- (402) 559-6341
- NPI assigned
- May 14, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-81727 | SC | |
| Assistant Behavior Analyst | 106E00000X | 0-22-13411 | Primary |
Addresses
Primary practice location
6902 Pine St
Omaha, NE 68106-2855
Mailing address
931 W James Lee Blvd Lot 6a
Crestview, FL 32536-5197
Phone (757) 506-6603
Other practice location 1
417C Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-4612
Phone (850) 362-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
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-19-81727 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1255997425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 W JAMES LEE BLVD LOT 6A",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325365197",
"telephone_number": "757-506-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902 PINE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062855",
"telephone_number": "402-559-6341"
}
],
"practiceLocations": [
{
"address_1": "417C Racetrack Rd NW Ste C",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325474612",
"country_code": "US",
"telephone_number": "850-362-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "CHLOE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-19-81727",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": "0-22-13411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 19, 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.