Kristen Wippermann

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11621917 Issued in IN

Practice address

1061 E Southern Ave
Indianapolis, IN 46203-5214

Phone

(463) 701-0909

Fax

(640) 500-3096

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Umbrella Center

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1518631746
  NPD Authorized official
• Little Star Center, Inc.

  • Early Intervention Provider Agency
  • Carmel, IN
  • NPI 1285804732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1417311614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E SOUTHERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035214",
            "telephone_number": "463-701-0909",
            "fax_number": "640-500-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E SOUTHERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035214",
            "telephone_number": "463-701-0909",
            "fax_number": "640-500-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPPERMANN",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "11621917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Winternheimer, RBT
• Chelsy Kay Winters
• Emma Winters, RBT
• Melissa A Winters, CPNP
• Allison Jeannine Wintring, MD
• Erin Nicole Wire, LSW
• Michael Wirey, DDS
• Dylan A Wirick
• Jordan D Wirthwein
• Catherine Jenne Hanlon Wischnowski, LCSW

• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.