Kaitlyn Krystyne Brazier

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

910 8TH St S Ste B
Virginia, MN 55792-3236

Phone

(218) 748-8500

Fax

(218) 212-3444

NPI assigned

Nov 28, 2023

Sex

Female

Sole proprietor

No

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.

• Guided Transitions LLC

  • Adult Care Home Facility
  • Duluth, MN
  • NPI 1487802450
  NPD
• Iron Range Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Virginia, MN
  • NPI 1851900484
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

• Kaitlyn Krystyne Wierimaa Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2023.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1750157046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "COTTON",
            "state": "MN",
            "postal_code": "557240236",
            "fax_number": "218-212-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 8TH ST S STE B",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923236",
            "telephone_number": "218-748-8500",
            "fax_number": "218-212-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIER",
        "first_name": "KAITLYN",
        "middle_name": "KRYSTYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "WIERIMAA",
            "middle_name": "KRYSTYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neissa Rhea Boehm, RN, CNP
• Bois Forte Reservation Tribal Council
• Jeffrey Dustin Boling
• Vanessa Bougalis
• Stacy Sue Bowman, BASC
• Justin Brewster, PA-C
• Lana Marie Brown, MS, ATC, NREMT
• Sara J Bruemmer, DNP, APRN, CNP
• Cecilia Rose Burke
• Jill Burkes, OT

• All providers in Virginia, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.