Active NPI
Madison Hootman, RBT
- Behavior Technician
- Lawrence, KS
National Provider Identifier
1891309902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-80079
- Practice address
- 1000 Sunnyside Ave
Lawrence, KS 66045-7599 - Phone
- (785) 864-4840
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- 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 | 19-80079 | KS | Primary |
Addresses
Primary practice location
1000 Sunnyside Ave
Lawrence, KS 66045-7599
Mailing address
1000 Sunnyside Ave
Lawrence, KS 66045-7599
Phone (785) 864-4840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | m103h374@ku.edu | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-80079 | KS | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1891309902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457599",
"telephone_number": "785-864-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457599",
"telephone_number": "785-864-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOTMAN",
"first_name": "MADISON",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "19-80079",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "m103h374@ku.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 Sunnyside Ave",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660457599",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.