Individual provider Active NPI

Kaitlyn J Cummings

  • Behavior Analyst
  • Cortez, CO
National Provider Identifier
1841764859
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37747 Issued in CO
Practice address
23 S Beech St # B102
Cortez, CO 81321-3751
Phone
(970) 946-1539
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-37747 CO Primary

Addresses

Primary practice location

23 S Beech St # B102
Cortez, CO 81321-3751

Mailing address

23 S Beech St # B102
Cortez, CO 81321-3751
Phone (970) 946-1539

Other practice location 1

36 Walnut Ave
Shalimar, FL 32579-1120
Phone (850) 420-2498

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

OrganizationSpecialtyStatusNew patients
Northwest Florida Behavioral Consultants Behavior Analyst PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1841764859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S BEECH ST # B102",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213751",
            "telephone_number": "970-946-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S BEECH ST # B102",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213751",
            "telephone_number": "970-946-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Shalimar",
            "state": "FL",
            "postal_code": "325791120",
            "country_code": "US",
            "telephone_number": "850-420-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KAITLYN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-37747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.