Kathleen Bauer Kearns

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-259713 Issued in IL

Practice address

7674 Plummer Business Dr
Troy, IL 62294-7604

Phone

(314) 275-0506

NPI assigned

Feb 20, 2023

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

State licenses

Practice roles

Locations

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.

• Emergent Learning LLC

  • Behavior Analyst
  • Springfield, MO
  • NPI 1639955420

  Behavior Technician

  NPD
• Emergent Learning LLC

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1972135606
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1558069401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464012"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "KATHLEEN",
        "middle_name": "BAUER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-23-259713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Johnson, RBT
• Timothy David Johnson, D.C.
• Larissa Jones, APN
• Kaide Lynn Jackstadt
• Kate Jo Kampwerth
• Makenzie Kell
• Emma Kiesling
• Mykenzie Kloess
• Lesley Kolesa, COTA
• Lexi Kremer-Callahan, MD

• Behavior Technician in Troy, IL
• Providers in Troy, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.