Active NPI
Lindsey Jane Miley, RBT
- Behavior Technician
- Fredericksburg, VA
National Provider Identifier
1821706342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-244230
- Practice address
- 30 Pulte Dr
Fredericksburg, VA 22406-5475 - Phone
- (540) 430-2932
- NPI assigned
- Nov 14, 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 | RBT-22-244230 | VA | Primary |
Addresses
Primary practice location
30 Pulte Dr
Fredericksburg, VA 22406-5475
Mailing address
1907 Pollock St
Fredericksburg, VA 22405-3210
Phone (540) 430-2932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-244230 | Other | VA | BCAB |
| BACB825358 | Other | VA | BACB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Outlook | 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-22-244230 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1821706342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 POLLOCK ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224053210",
"telephone_number": "540-430-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PULTE DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224065475",
"telephone_number": "540-430-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEY",
"first_name": "LINDSEY",
"middle_name": "JANE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-22-244230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCAB",
"identifier": "RBT-22-244230",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "BACB825358",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Outlook",
"affiliation": "N",
"endpointDescription": "Company Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Company Email",
"address_1": "30 Pulte Dr",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224065475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.