Kathryn Miller Dove

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15190 Issued in NC

Practice address

3800 Hillsborough St
Ledford Hall
Raleigh, NC 27607-5237

Phone

(919) 760-8022

NPI assigned

Apr 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Meredith College Autism Program

  • Developmentally Disabled Services Day Training Agency
  • Raleigh, NC
  • NPI 1679858187
  NPD (past) Authorized official
• Meredith College

  • Specialist
  • Raleigh, NC
  • NPI 1194858761
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1548670516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 MINE SHAFT RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156023",
            "telephone_number": "919-740-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HILLSBOROUGH ST",
            "address_2": "LEDFORD HALL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075237",
            "telephone_number": "919-760-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "KATHRYN",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-14-15190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Marie Douglas, DO
• Amy Douglass, MCD, CCC-SLP
• Jenna Michelle Douglass, BCBA
• Dove Supportive Services
• Dove Supportive Services, LLC
• Kimberly McGill Dove, RD, LDN
• Lorraine Dove, LPN
• Marico Dove, PHARMD
• Christina Ann Dovel, LCSW-A
• Carrie Ann Dow-Smith, M.D.

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.