Individual provider Active NPI

Amy Evelyn Kerr

  • Student in an Organized Health Care Education/Training Program
  • Plymouth, MA
National Provider Identifier
1821423930
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
900 Ship Pond Rd
Plymouth, MA 02360-1849
Phone
(508) 209-6349
NPI assigned
Sep 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

900 Ship Pond Rd
Plymouth, MA 02360-1849

Mailing address

364 Old Oyster Rd
Cotuit, MA 02635-3037
Phone (774) 487-8700

Other practice location 1

364 Old Oyster Rd
Cotuit, MA 02635-3037
Phone (774) 487-8700

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821423930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 OLD OYSTER RD",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026353037",
            "telephone_number": "774-487-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHIP POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601849",
            "telephone_number": "508-209-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 Old Oyster Rd",
            "address_purpose": "LOCATION",
            "city": "Cotuit",
            "state": "MA",
            "postal_code": "026353037",
            "country_code": "US",
            "telephone_number": "774-487-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "AMY",
        "middle_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.