Individual provider Active NPI

Kimberly Katner, RBT-18-48929

  • Behavior Technician
  • Orland Park, IL
National Provider Identifier
1528558145
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-48929 Issued in IL
Practice address
9809 Treetop Dr
Orland Park, IL 60462-4605
Phone
(630) 209-8366
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-48929 IL Primary

Addresses

Primary practice location

9809 Treetop Dr
Orland Park, IL 60462-4605

Mailing address

9809 Treetop Dr
Orland Park, IL 60462-4605
Phone (630) 209-8366

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

LicenseStateTypeSpecialty
18-48929ILMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1528558145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 TREETOP DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624605",
            "telephone_number": "630-209-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 TREETOP DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624605",
            "telephone_number": "630-209-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATNER",
        "first_name": "KIMBERLY",
        "credential": "RBT-18-48929",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "18-48929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.