Active NPI
Kaylyn Farley
- Behavior Technician
- Port Charlotte, FL
National Provider Identifier
1700488707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1475 Collingswood Blvd
Port Charlotte, FL 33948-1059 - Phone
- (941) 999-4197
- NPI assigned
- Nov 13, 2020
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1475 Collingswood Blvd
Port Charlotte, FL 33948-1059
Mailing address
8237 Vicela Dr
Sarasota, FL 34240-1462
Other practice location 1
2500 Bobcat Village Center Rd Unit G
North Port, FL 34288-8476
Phone (800) 210-0814
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtus Health, LLC | Behavior Technician | Current | Accepting new patients |
Locations
2500 Bobcat Village Center Rd
Unit G
North Port, FL 34288
Phone (239) 778-6574
8237 Vicela Dr
Sarasota, FL 34240
Phone (941) 342-8811
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": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1700488707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 VICELA DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342401462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 COLLINGSWOOD BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481059",
"telephone_number": "941-999-4197"
}
],
"practiceLocations": [
{
"address_1": "2500 Bobcat Village Center Rd Unit G",
"address_purpose": "LOCATION",
"city": "North Port",
"state": "FL",
"postal_code": "342888476",
"country_code": "US",
"telephone_number": "800-210-0814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARLEY",
"first_name": "KAYLYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.