Active NPI
Kayla Rea Pounds, M.S., BCBA
- Behavior Analyst
- Knoxville, TN
National Provider Identifier
1336621200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 910
- Practice address
- 6004 Walden Dr
Knoxville, TN 37919-6370 - Phone
- (865) 766-5775
- NPI assigned
- Sep 6, 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 190087 | MS | |
| Behavior Analyst | 103K00000X | 910 | TN | Primary |
Addresses
Primary practice location
6004 Walden Dr
Knoxville, TN 37919-6370
Mailing address
6004 Walden Dr
Knoxville, TN 37919-6370
Phone (865) 766-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04827599 | Medicaid | MS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190087 | MS | MD | Behavioral Analyst |
| 910 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Will's Way, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1336621200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6004 WALDEN DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196370",
"telephone_number": "865-766-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 WALDEN DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196370",
"telephone_number": "865-766-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUNDS",
"first_name": "KAYLA",
"middle_name": "REA",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MS",
"license": "190087",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04827599",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.