Active NPI
Kimberly G Becker, MED
- Behavior Analyst
- Basehor, KS
National Provider Identifier
1457510448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 166
- Practice address
- 1106 N 155TH St Ste B
Basehor, KS 66007-7100 - Phone
- (913) 662-7071
- NPI assigned
- Jun 4, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Analyst | 103K00000X | 166 | KS | Primary |
Addresses
Primary practice location
1106 N 155TH St Ste B
Basehor, KS 66007-7100
Mailing address
8700 E 29TH St N
Wichita, KS 67226-2169
Phone (316) 634-8710
Other practice location 1
21711 W 52nd St N
Andale, KS 67001-8900
Phone (316) 204-7184
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1457510448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 E 29TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262169",
"telephone_number": "316-634-8710",
"fax_number": "316-634-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N 155TH ST STE B",
"city": "BASEHOR",
"state": "KS",
"postal_code": "660077100",
"telephone_number": "913-662-7071"
}
],
"practiceLocations": [
{
"address_1": "21711 W 52nd St N",
"address_purpose": "LOCATION",
"city": "Andale",
"state": "KS",
"postal_code": "670018900",
"country_code": "US",
"telephone_number": "316-204-7184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "KIMBERLY",
"middle_name": "G",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KS",
"license": "166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Basehor, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.