Active NPI
Haley Fender
- Behavior Technician
- Topeka, KS
National Provider Identifier
1376996579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 325 SW Frazier Ave
Topeka, KS 66606-1963 - Phone
- (785) 232-5005
- Fax
- (888) 972-5038
- NPI assigned
- Jul 22, 2016
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | K02-86-2048 | KS | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
325 SW Frazier Ave
Topeka, KS 66606-1963
Mailing address
325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W223019608-03 | Other | KS | AETNA |
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": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1376996579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SW FRAZIER AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061963",
"telephone_number": "785-232-5005",
"fax_number": "888-972-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SW FRAZIER AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061963",
"telephone_number": "785-232-5005",
"fax_number": "888-972-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KS",
"license": "K02-86-2048",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W223019608-03",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.