Individual provider Active NPI

Katie Fitterer, BCBA

  • Behavior Analyst
  • Newport News, VA
National Provider Identifier
1740590108
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
763 J Clyde Morris Blvd Ste 1C
Newport News, VA 23601-1533
Phone
(757) 524-2510
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

763 J Clyde Morris Blvd Ste 1C
Newport News, VA 23601-1533

Mailing address

763 J Clyde Morris Blvd Ste 1C
Newport News, VA 23601-1533

Other practice location 1

8 San Jose Dr Ste 3B
Newport News, VA 23606
Phone (757) 524-2510

Other practice location 2

8 San Jose Dr Ste 3B
Newport News, VA 23606
Phone (757) 524-2510

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

OrganizationSpecialtyStatusNew patients
Blossom Behavioral Services Behavior Analyst CurrentSince Apr 20, 2021 Accepting new patients

Locations

8 San Jose Dr
Ste 3B
Newport News, VA 23606
Phone (757) 524-2510

1085 Loftis Blvd
Newport News, VA 23606
Phone (757) 524-2510

763 J Clyde Morris Blvd
Ste 1C
Newport News, VA 23601
Phone (757) 524-2510

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1740590108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 J CLYDE MORRIS BLVD STE 1C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 J CLYDE MORRIS BLVD STE 1C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011533",
            "telephone_number": "757-524-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 San Jose Dr Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-524-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 San Jose Dr Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-524-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITTERER",
        "first_name": "KATIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.