Individual provider Active NPI

Karsun Paige Deneen

  • Behavior Technician
  • Rogers, AR
National Provider Identifier
1609413889
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1704 W Industrial Dr
Rogers, AR 72756-2492
Phone
(479) 439-6906
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 Primary

Addresses

Primary practice location

1704 W Industrial Dr
Rogers, AR 72756-2492

Mailing address

4571 E 107TH St
Tulsa, OK 74137-6853
Phone (417) 827-0911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdeneen@aimclinics.com

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

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1609413889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 E 107TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376853",
            "telephone_number": "417-827-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W INDUSTRIAL DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562492",
            "telephone_number": "479-439-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEEN",
        "first_name": "KARSUN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdeneen@aimclinics.com",
            "affiliation": "N",
            "address_1": "1704 W Industrial Dr",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727562492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.