Active NPI
Kendra M Smith-Wehr, MED, BCBA, LBA
- Behavior Analyst
- Buckner, KY
National Provider Identifier
1689235285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 245074
- Practice address
- 5001 Sumerlin CT
Buckner, KY 40010-8845 - Phone
- (502) 500-0646
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- 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 | 245074 | KY | Primary |
Addresses
Primary practice location
5001 Sumerlin CT
Buckner, KY 40010-8845
Mailing address
5001 Sumerlin CT
Buckner, KY 40010-8845
Phone (502) 500-0646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29166 | Other | BACB |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245074 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1689235285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SUMERLIN CT",
"city": "BUCKNER",
"state": "KY",
"postal_code": "400108845",
"telephone_number": "502-500-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 SUMERLIN CT",
"city": "BUCKNER",
"state": "KY",
"postal_code": "400108845",
"telephone_number": "502-500-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-WEHR",
"first_name": "KENDRA",
"middle_name": "M",
"credential": "MED, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "245074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-18-29166",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckner, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.