Active NPI
Paige Prince
- Behavior Technician
- Coon Rapids, MN
National Provider Identifier
1538646609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Fraser Coon Rapids
9120 Springbrook Drive NW
Coon Rapids, MN 55433 - Phone
- (763) 231-2590
- NPI assigned
- Jul 23, 2018
- 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
Fraser Coon Rapids
9120 Springbrook Drive NW
Coon Rapids, MN 55433
Mailing address
Fraser Coon Rapids
9120 Springbrook Drive NW
Coon Rapids, MN 55433
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 |
|---|---|---|---|
| Fraser Child and Family Center | Past | Accepting new patients | |
| Fraser | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1538646609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FRASER COON RAPIDS",
"address_2": "9120 SPRINGBROOK DRIVE NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "55433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FRASER COON RAPIDS",
"address_2": "9120 SPRINGBROOK DRIVE NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "55433",
"telephone_number": "763-231-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.