Active NPI
Kristopher John Konen, HI/BI
- Behavior Analyst
- Lewiston, ID
National Provider Identifier
1639698582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1213 16TH St
Lewiston, ID 83501-3057 - Phone
- (208) 305-6542
- NPI assigned
- Sep 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | ID | Primary |
Addresses
Primary practice location
1213 16TH St
Lewiston, ID 83501-3057
Mailing address
3321 7TH St
Lewiston, ID 83501-4941
Phone (208) 305-6542
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": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1639698582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 7TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014941",
"telephone_number": "208-305-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 16TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835013057",
"telephone_number": "208-305-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONEN",
"first_name": "KRISTOPHER",
"middle_name": "JOHN",
"credential": "HI/BI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.