Kimberly Kay Fatland

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181

Phone

(651) 342-1883

Fax

(651) 342-2231

NPI assigned

Feb 8, 2023

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

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1871290171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CURVE CREST BLVD W STE 104",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826181",
            "telephone_number": "651-342-1883",
            "fax_number": "651-342-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CURVE CREST BLVD W STE 104",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826181",
            "telephone_number": "651-342-1883",
            "fax_number": "651-342-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATLAND",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Familymeans
• Ronald Leeandre Farmer-Blanchard
• Saydie Farmer, LICSW
• Angela Lynn Farris, NP
• Bobbie Jo Fatheree
• John Fedje-Johnston, MD
• Alyssa Fedor, MS RD
• Ryan M. Fedor, O.D.
• Marisa L Felker, PA-C
• Rebecca Jo Felknor, MA

• Behavior Technician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.