Individual provider Active NPI

Kelsi-Ann Nicole Bade

  • Behavior Technician
  • Muncie, IN
National Provider Identifier
1306642392
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2620 Accutech Way
Muncie, IN 47304-9462
Phone
(765) 282-8222
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2620 Accutech Way
Muncie, IN 47304-9462

Mailing address

1642 E State Road 26
Hartford City, IN 47348-9084
Phone (765) 717-6147

Other practice location 1

3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (765) 282-8222

Other practice location 2

3701 W Bethel Ave
Muncie, IN 47304-5467
Phone (765) 282-8222

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1306642392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E STATE ROAD 26",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473489084",
            "telephone_number": "765-717-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 ACCUTECH WAY",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049462",
            "telephone_number": "765-282-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045408",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045467",
            "country_code": "US",
            "telephone_number": "765-282-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADE",
        "first_name": "KELSI-ANN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.