Individual provider Active NPI

Kimberly Adams

  • Behavior Technician
  • Sacramento, CA
National Provider Identifier
1376015131
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815
Phone
(916) 923-1789
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815

Mailing address

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789

Other practice location 1

4196 Douglas Blvd
Granite Bay, CA 95746-5904
Phone (916) 489-1376

Other practice location 2

4196 Douglas Blvd
Granite Bay, CA 95746-5904
Phone (916) 489-1376

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
Advance Education, Inc. PastSince Dec 9, 2019 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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1376015131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154235",
            "telephone_number": "916-923-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-923-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4196 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957465904",
            "country_code": "US",
            "telephone_number": "916-489-1376",
            "fax_number": "916-489-1386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4196 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957465904",
            "country_code": "US",
            "telephone_number": "916-489-1376",
            "fax_number": "916-489-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.