Katie Ann Carol

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-174487 Issued in FL

Practice address

864 17TH Ave N
Saint Petersburg, FL 33704-4226

Phone

(863) 273-0483

NPI assigned

Nov 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Start Possibility

  • Behavior Analyst
  • Doral, FL
  • NPI 1366993701
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1871200345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 17TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044226",
            "telephone_number": "863-273-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 17TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044226",
            "telephone_number": "863-273-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5602 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154123",
            "country_code": "US",
            "telephone_number": "813-331-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROL",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-174487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Carneiro
• John W Carnes, PHD
• Frank P Carnevale, MD
• Marcella A Caro, APRN
• Carol L Pappas MD PHD PA
• Carolyn M. Carey, MD, PA (Center for Pediatric Neurosurgery & Neuroscience)
• Madison Caron
• Kathleen Carpenter, DPT
• Phyllis Carpenter, ARNP
• Christy Carr, LICENSED MASSAGE THE

• Behavior Technician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.