Active NPI
Michael Smith
- Behavior Technician
- Leawood, KS
National Provider Identifier
1700522802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-215469
- Practice address
- 6394 College Blvd
Leawood, KS 66211-1506 - Phone
- (913) 392-8911
- NPI assigned
- May 11, 2022
- Sex
- Male
- 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 | 22-215469 | KS | Primary |
Addresses
Primary practice location
6394 College Blvd
Leawood, KS 66211-1506
Mailing address
6394 College Blvd
Leawood, KS 66211-1506
Phone (913) 392-8911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | michael.smith@cultivatebhe.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-215469 | KS | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1700522802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6394 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111506",
"telephone_number": "913-392-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6394 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111506",
"telephone_number": "913-392-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "22-215469",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "michael.smith@cultivatebhe.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6394 College Blvd",
"city": "Leawood",
"state": "KS",
"country_code": "US",
"postal_code": "662111506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.