Active NPI
Kimberly C. R. Greene
- Behavior Technician
- North Lauderdale, FL
National Provider Identifier
1710492657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1410 S Santa Catalina Cir
North Lauderdale, FL 33068-6313 - Phone
- (954) 446-4099
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1410 S Santa Catalina Cir
North Lauderdale, FL 33068-6313
Mailing address
1410 S Catalina Circle
North Lauderdale, FL 33068
Phone (954) 214-7210
Other practice location 1
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (954) 947-3759
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1710492657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 S CATALINA CIRCLE",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-214-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S SANTA CATALINA CIR",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330686313",
"telephone_number": "954-446-4099"
}
],
"practiceLocations": [
{
"address_1": "500 Fairway Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411817",
"country_code": "US",
"telephone_number": "954-947-3759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "KIMBERLY",
"middle_name": "C. R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.