Active NPI
Kaitlyn O'Connor
- Behavior Technician
- Viera, FL
National Provider Identifier
1417494949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5500 Murrell Rd Ste 100
Viera, FL 32940-6700 - Phone
- (866) 610-0580
- NPI assigned
- Jan 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5500 Murrell Rd Ste 100
Viera, FL 32940-6700
Mailing address
1160 Two Oaks Blvd
Merritt Island, FL 32952-6003
Phone (321) 890-4130
Other practice location 1
1160 Two Oaks Blvd
Merritt Island, FL 32952-6003
Phone (321) 890-4130
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": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417494949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 TWO OAKS BLVD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526003",
"telephone_number": "321-890-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MURRELL RD STE 100",
"city": "VIERA",
"state": "FL",
"postal_code": "329406700",
"telephone_number": "866-610-0580"
}
],
"practiceLocations": [
{
"address_1": "1160 Two Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329526003",
"country_code": "US",
"telephone_number": "321-890-4130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.