Active NPI
Kayla Rodgers
- Behavior Technician
- Melbourne, FL
National Provider Identifier
1427605724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-133106
- Practice address
- 65 E Nasa Blvd
Melbourne, FL 32901-1961 - Phone
- (772) 266-8727
- Fax
- (772) 494-7093
- NPI assigned
- Aug 21, 2019
- 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 | RBT-20-133106 | FL | Primary |
Addresses
Primary practice location
65 E Nasa Blvd
Melbourne, FL 32901-1961
Mailing address
1611 Santos St SE Unit B
Palm Bay, FL 32909-6408
Phone (561) 222-3407
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Krodgers96 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-133106 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1427605724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 SANTOS ST SE UNIT B",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096408",
"telephone_number": "561-222-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E NASA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011961",
"telephone_number": "772-266-8727",
"fax_number": "772-494-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "KAYLA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-133106",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Krodgers96",
"affiliation": "N",
"address_1": "8001 Beaty Grove Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336261602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Melbourne, FL
- Tyana Robinson
- Robyn Tapley, PSYD, PA
- Jana Willis Rochette, BSN, RN, CWOCN
- Rockledge Hospitalist Services, LLC
- Marissa Rocourt, M.D
- Mary Katherine Rodrigues, PT, DPT
- Giana Eileen Rodriguez Gonzalez, DC
- Lina Beatriz Rodriguez Rosario, M.D.
- Lianet Rodriguez Tejeda
- Miguel Antonio Rodriguez-Gonzalez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.