Active NPI
Katie M Que
- Behavior Analyst
- Surprise, AZ
National Provider Identifier
1326429663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 172
- Practice address
- 16789 N 183Rd Dr
Surprise, AZ 85388-7690 - Phone
- (760) 644-4273
- NPI assigned
- Jun 12, 2015
- 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 Analyst | 103K00000X | 172 | AZ | Primary |
Addresses
Primary practice location
16789 N 183Rd Dr
Surprise, AZ 85388-7690
Mailing address
16789 N 183Rd Dr
Surprise, AZ 85388-7690
Phone (760) 644-4273
Other names 1
- Katie M Bartolotta
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 |
|---|---|---|---|
| 172 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1326429663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16789 N 183RD DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887690",
"telephone_number": "760-644-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16789 N 183RD DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887690",
"telephone_number": "760-644-4273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUE",
"first_name": "KATIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "BARTOLOTTA",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.