Active NPI
Marianke Phillips, RBT
- Behavior Technician
- Fairbanks, AK
National Provider Identifier
1760950620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-70070
- Practice address
- 326 Driveway St Ste 100
Fairbanks, AK 99701-2807 - Phone
- (907) 521-0890
- NPI assigned
- Nov 8, 2018
- 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 | RBT-18-70070 | AK | Primary |
Addresses
Primary practice location
326 Driveway St Ste 100
Fairbanks, AK 99701-2807
Mailing address
PO Box 74849
Fairbanks, AK 99707-4849
Phone (907) 406-8813
Other practice location 1
203 S Santa Claus Ln
North Pole, AK 99705-7704
Phone (907) 521-0890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marianke.phillips@aperfectfit.com | Direct |
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 |
|---|---|---|---|
| RBT-18-70070 | AK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611360000000",
"number": "1760950620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74849",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997074849",
"telephone_number": "907-406-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 DRIVEWAY ST STE 100",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997012807",
"telephone_number": "907-521-0890"
}
],
"practiceLocations": [
{
"address_1": "203 S Santa Claus Ln",
"address_purpose": "LOCATION",
"city": "North Pole",
"state": "AK",
"postal_code": "997057704",
"country_code": "US",
"telephone_number": "907-521-0890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MARIANKE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2021-01-23",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AK",
"license": "RBT-18-70070",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marianke.phillips@aperfectfit.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "326 Driveway St Ste 100",
"city": "Fairbanks",
"state": "AK",
"country_code": "US",
"postal_code": "997012807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.