Active NPI
Kieler Skaro
- Behavior Technician
- Perham, MN
National Provider Identifier
1831711225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 316 6TH Ave SW
Perham, MN 56573-1508 - Phone
- (218) 346-2322
- NPI assigned
- May 8, 2020
- Last updated
- May 8, 2020
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
316 6TH Ave SW
Perham, MN 56573-1508
Mailing address
PO Box 452
Perham, MN 56573-0452
Phone (218) 346-2322
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Kids Perham | Current | Accepting new patients |
Locations
316 6th Ave SW
Perham, MN 56573
Phone (218) 346-2322
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Perham, MN
- NPI 1831607423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1831711225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452",
"city": "PERHAM",
"state": "MN",
"postal_code": "565730452",
"telephone_number": "218-346-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 6TH AVE SW",
"city": "PERHAM",
"state": "MN",
"postal_code": "565731508",
"telephone_number": "218-346-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKARO",
"first_name": "KIELER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.