Individual provider Active NPI

Notlie C Lammie

  • Behavior Technician
  • Mary Esther, FL
National Provider Identifier
1730900853
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24384883
Practice address
124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991
Phone
(850) 374-3748
Fax
(855) 445-0214
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24384883 Primary

Addresses

Primary practice location

124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991

Mailing address

6 Bobolink St NE Unit 201
Fort Walton Beach, FL 32548-4996
Phone (850) 240-7665

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1730900853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BOBOLINK ST NE UNIT 201",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484996",
            "telephone_number": "850-240-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MIRACLE STRIP PKWY STE 503",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691991",
            "telephone_number": "850-374-3748",
            "fax_number": "855-445-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMIE",
        "first_name": "NOTLIE",
        "middle_name": "C",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "24384883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.