Individual provider Active NPI

Kennedy Christina Westmoreland

  • Behavior Technician
  • Gaithersburg, MD
National Provider Identifier
1891266169
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9711 Washingtonian Blvd
Gaithersburg, MD 20878-7365
Phone
(410) 609-6357
NPI assigned
Dec 16, 2018
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9711 Washingtonian Blvd
Gaithersburg, MD 20878-7365

Mailing address

9711 Washingtonian Blvd
Gaithersburg, MD 20878-7365

Other practice location 1

4141 N Henderson Rd
Arlington, VA 22203-2486
Phone (572) 777-9210 ext. 2992

Other practice location 2

9711 Washingtonian Blvd
Gaithersburg, MD 20878-7365
Phone (410) 609-6357

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

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1891266169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208787365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208787365",
            "telephone_number": "410-609-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 N Henderson Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222032486",
            "country_code": "US",
            "telephone_number": "572-777-9210 x2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9711 Washingtonian Blvd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208787365",
            "country_code": "US",
            "telephone_number": "410-609-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "KENNEDY",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.