Active NPI
Hermiyon Myette King
- Behavior Technician
- Flint, MI
National Provider Identifier
1760143481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- D151302619709
- Practice address
- 349 E Philadelphia Blvd
Flint, MI 48505-3361 - Phone
- (947) 201-7027
- NPI assigned
- Jan 5, 2022
- 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 | D151302619709 | MI | Primary |
Addresses
Primary practice location
349 E Philadelphia Blvd
Flint, MI 48505-3361
Mailing address
2284 S Ballenger Hwy
Flint, MI 48503-3446
Phone (810) 221-7871
Other names 1
- Hermiyon Myette Davenport Williams
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
| License | State | Type | Specialty |
|---|---|---|---|
| D151302619709 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1760143481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2284 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485033446",
"telephone_number": "810-221-7871",
"fax_number": "810-820-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 E PHILADELPHIA BLVD",
"city": "FLINT",
"state": "MI",
"postal_code": "485053361",
"telephone_number": "947-201-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "HERMIYON",
"middle_name": "MYETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "D151302619709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HERMIYON",
"last_name": "DAVENPORT WILLIAMS",
"middle_name": "MYETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.