Individual provider Active NPI

Kaylee Williams

  • Behavior Technician
  • Eagle River, AK
National Provider Identifier
1356887178
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
16635 Centerfield Dr Ste 103
Eagle River, AK 99577-7745
Phone
(907) 694-6002
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

16635 Centerfield Dr Ste 103
Eagle River, AK 99577-7745

Mailing address

7175 Columbia Gateway Dr
Columbia, MD 21046-2534

Other practice location 1

7175 Columbia Gateway Dr
Columbia, MD 21046-2534
Phone (888) 344-5977

Other names 1

  • Kaylee Storey Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Outreach Center for Understanding Special Needs Inc CurrentSince Mar 9, 2020 Accepting new patients

Locations

16635 Centerfield Dr
Ste 103
Eagle River, AK 99577
Phone (907) 694-6002

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1356887178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16635 CENTERFIELD DR STE 103",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777745",
            "telephone_number": "907-694-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 Columbia Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462534",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "STOREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.