Active NPI
Katherine Marie Sillaman
- Behavior Technician
- Lake Mary, FL
National Provider Identifier
1548853237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 200 Waymont CT Ste 122
Lake Mary, FL 32746-3413 - Phone
- (407) 710-8566
- NPI assigned
- Feb 15, 2021
- 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
200 Waymont CT Ste 122
Lake Mary, FL 32746-3413
Mailing address
200 Waymont CT Ste 122
Lake Mary, FL 32746-3413
Phone (407) 710-8566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103143300 | Medicaid | FL |
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 |
|---|---|---|---|
| Behavioral Independence | Behavior Technician | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1548853237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WAYMONT CT STE 122",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463413",
"telephone_number": "407-710-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WAYMONT CT STE 122",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463413",
"telephone_number": "407-710-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILLAMAN",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103143300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.