Individual provider Active NPI

Kari Watchorn

  • Behavior Analyst
  • Cottonwood Heights, UT
National Provider Identifier
1710484092
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7349738-2506 Issued in UT
Practice address
2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157
Phone
(801) 495-5100
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 7349738-2506 UT Primary

Addresses

Primary practice location

2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157

Mailing address

2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157
Phone (801) 495-5100

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
7349738-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Autism Center Behavior Analyst Past Accepting new patients

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1710484092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 E BENGAL BLVD STE 300",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215157",
            "telephone_number": "801-495-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 E BENGAL BLVD STE 300",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215157",
            "telephone_number": "801-495-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATCHORN",
        "first_name": "KARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "7349738-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.