Active NPI
Makenzie Kennedy
- Behavior Technician
- Manhattan, KS
National Provider Identifier
1770353575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-318333
- Practice address
- 1133 College Ave Ste E230
Manhattan, KS 66502-2818 - Phone
- (785) 587-1825
- Fax
- (785) 596-6859
- NPI assigned
- Jan 3, 2024
- 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-23-318333 | KS | Primary |
Addresses
Primary practice location
1133 College Ave Ste E230
Manhattan, KS 66502-2818
Mailing address
1829 College Heights Rd Apt 5
Manhattan, KS 66502-3567
Phone (785) 305-1823
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-23-318333 | KS | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Stone Unturned Foundation | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Manhattan, KS
- NPI 1528517901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1770353575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 COLLEGE HEIGHTS RD APT 5",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023567",
"telephone_number": "785-305-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 COLLEGE AVE STE E230",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022818",
"telephone_number": "785-587-1825",
"fax_number": "785-596-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MAKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "RBT-23-318333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.