Active NPI
Kathryn Anne Roustio
- Behavior Analyst
- Troy, IL
National Provider Identifier
1508464223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7674 Plummer Business Dr
Troy, IL 62294-7604 - Phone
- (314) 275-0506
- Fax
- (314) 463-4937
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2022
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7674 Plummer Business Dr
Troy, IL 62294-7604
Mailing address
2055 Craigshire Rd
Saint Louis, MO 63146-4036
Phone (314) 275-0506
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Learning LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1508464223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 CRAIGSHIRE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464036",
"telephone_number": "314-275-0506",
"fax_number": "314-463-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7674 PLUMMER BUSINESS DR",
"city": "TROY",
"state": "IL",
"postal_code": "622947604",
"telephone_number": "314-275-0506",
"fax_number": "314-463-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSTIO",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.