Desress Rahe

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

465 Est 2ND St
Russell, KS 67665

Phone

(785) 639-3927

NPI assigned

Oct 28, 2022

Last updated

Oct 28, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1417664566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 EST 2ND ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "67665",
            "telephone_number": "785-639-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Est 2nd St",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KS",
            "postal_code": "67665",
            "country_code": "US",
            "telephone_number": "785-639-3927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "971 E Wichita Ave",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KS",
            "postal_code": "676652444",
            "country_code": "US",
            "telephone_number": "785-377-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHE",
        "first_name": "DESRESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110377755",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Russell, KS
• Providers in Russell, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.