Active NPI
Macey Witmer
- Behavior Technician
- Lawrence, KS
National Provider Identifier
1275040149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-60832
- Practice address
- 1000 Sunnyside Ave
Lawrence, KS 66045-7100 - Phone
- (785) 864-0771
- NPI assigned
- Jan 2, 2018
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | 18-60832 | KS | Primary |
Addresses
Primary practice location
1000 Sunnyside Ave
Lawrence, KS 66045-7100
Mailing address
1000 Sunnyside Ave
Lawrence, KS 66045-7599
Phone (785) 864-0771
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 |
|---|---|---|---|
| 18-60832 | KS | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1275040149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457599",
"telephone_number": "785-864-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457100",
"telephone_number": "785-864-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "MACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "18-60832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.