Individual provider Active NPI

Adrian McDonald, RBT

  • Behavior Technician
  • Nashville, TN
National Provider Identifier
1649932211
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-188137 Issued in KY
Practice address
615 Main St Ste B23
Nashville, TN 37206-3603
Phone
(615) 821-2575
Fax
(615) 821-0024
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 RBT-21-188137 KY Primary

Addresses

Primary practice location

615 Main St Ste B23
Nashville, TN 37206-3603

Mailing address

615 Main St Ste B23
Nashville, TN 37206-3603
Phone (615) 821-2575

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

State licenses

LicenseStateTypeSpecialty
RBT-21-188137KYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Satyaluna LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

615 Main St
Ste B23
Nashville, TN 37206
Phone (615) 601-1709

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1649932211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE B23",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063603",
            "telephone_number": "615-821-2575",
            "fax_number": "615-821-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE B23",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063603",
            "telephone_number": "615-821-2575",
            "fax_number": "615-821-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ADRIAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-21-188137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

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