Active NPI
Alexa Visor
- Behavior Technician
- Kansas City, MO
National Provider Identifier
1508426180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7 E Gregory Blvd
Kansas City, MO 64114-1117 - Phone
- (816) 474-3995
- NPI assigned
- Jun 17, 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 | Primary |
Addresses
Primary practice location
7 E Gregory Blvd
Kansas City, MO 64114-1117
Mailing address
9374 Olive Blvd Ste 101
Saint Louis, MO 63132-3253
Phone (314) 665-1166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1976309 | Other | MO | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tichacekj@thriveasd.org |
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": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1508426180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9374 OLIVE BLVD STE 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323253",
"telephone_number": "314-665-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 E GREGORY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641141117",
"telephone_number": "816-474-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISOR",
"first_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "1976309",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tichacekj@thriveasd.org",
"affiliation": "N",
"address_1": "9374 Olive Blvd Ste 101",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631323253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.