Individual provider Active NPI

Kirsten St. Germaine, BCBA

  • Behavior Analyst
  • Norman, OK
National Provider Identifier
1508225657
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
930 Wall St
Norman, OK 73069-6319
Phone
(405) 384-8588
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

930 Wall St
Norman, OK 73069-6319

Mailing address

14131 Midway Rd Ste 800
Addison, TX 75001-3627
Phone (972) 895-3287

Other practice location 1

12040 98th Ave NE
Ste 204
Kirkland, WA 98034-4290
Phone (425) 658-3016

Other practice location 2

12729 Northup Way Ste 23
Bellevue, WA 98005
Phone (866) 727-8274

Other names 1

  • Kirsten Bergstrand Former name

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1508225657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 800",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013627",
            "telephone_number": "972-895-3287",
            "fax_number": "469-914-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696319",
            "telephone_number": "405-384-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12040 98th Ave NE",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980344290",
            "country_code": "US",
            "telephone_number": "425-658-3016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12729 Northup Way Ste 23",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98005",
            "country_code": "US",
            "telephone_number": "866-727-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. GERMAINE",
        "first_name": "KIRSTEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "BERGSTRAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.