Active NPI
Sara Beth Kohler
- Behavior Technician
- Fort Pierce, FL
National Provider Identifier
1407360480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 609 Texas CT Apt B
Fort Pierce, FL 34950-4064 - Phone
- (772) 801-4595
- NPI assigned
- Nov 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
609 Texas CT Apt B
Fort Pierce, FL 34950-4064
Mailing address
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Phone (855) 832-6727
Other practice location 1
609 Texas Ct Apt B
Fort Pierce, FL 34950-4064
Phone (772) 801-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017422400 | Medicaid | FL |
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": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1407360480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349976826",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 TEXAS CT APT B",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504064",
"telephone_number": "772-801-4595"
}
],
"practiceLocations": [
{
"address_1": "609 Texas Ct Apt B",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504064",
"country_code": "US",
"telephone_number": "772-801-4595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLER",
"first_name": "SARA",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017422400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.