Individual provider Active NPI

Nichollette Leigh Volle

  • Behavior Technician
  • Duluth, MN
National Provider Identifier
1396458105
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4140 Richard Ave
Duluth, MN 55811-2869
Phone
(218) 520-3411
Fax
(218) 520-3414
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

4140 Richard Ave
Duluth, MN 55811-2869

Mailing address

4140 Richard Ave
Duluth, MN 55811-2869
Phone (218) 520-3411

Other identifiers 1

IdentifierTypeStateIssuer
1588993091MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hrhelp.caravelautism.com

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1396458105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112869",
            "telephone_number": "218-520-3411",
            "fax_number": "218-520-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112869",
            "telephone_number": "218-520-3411",
            "fax_number": "218-520-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLE",
        "first_name": "NICHOLLETTE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588993091",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hrhelp.caravelautism.com",
            "affiliation": "N",
            "address_1": "4140 Richard Ave",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558112869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.