Active NPI
Kyteria Dichelle Marshall
- Behavior Technician
- Hickory, NC
National Provider Identifier
1649921230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 380 9TH Avenue Dr NE Apt 103
Hickory, NC 28601-3821 - Phone
- (281) 702-9105
- NPI assigned
- Jan 14, 2022
- 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
380 9TH Avenue Dr NE Apt 103
Hickory, NC 28601-3821
Mailing address
380 9TH Avenue Dr NE Apt 103
Hickory, NC 28601-3821
Phone (281) 702-9105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KEQ121858698001 | Other | AL | BLUE CROSS BLUE SHIELDS |
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": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1649921230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 9TH AVENUE DR NE APT 103",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013821",
"telephone_number": "281-702-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 9TH AVENUE DR NE APT 103",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013821",
"telephone_number": "281-702-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KYTERIA",
"middle_name": "DICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELDS",
"identifier": "KEQ121858698001",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.