Individual provider Active NPI

Kioanna Branker

  • Behavior Technician
  • Altamonte Springs, FL
National Provider Identifier
1912446386
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
697 Ashford Oaks Dr Apt 203
Altamonte Springs, FL 32714
Phone
(786) 597-2898
NPI assigned
Feb 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X B652926280 FL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

697 Ashford Oaks Dr Apt 203
Altamonte Springs, FL 32714

Mailing address

697 Ashford Oaks Dr Apt 203
Altamonte Springs, FL 32714-5568
Phone (786) 597-2898

Other practice location 1

6307 westgate dr
apt 2111
orlando, FL 32835-7082
Phone (786) 597-2898

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

LicenseStateTypeSpecialty
B652926280FLMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1912446386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 ASHFORD OAKS DR APT 203",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145568",
            "telephone_number": "786-597-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 ASHFORD OAKS DR APT 203",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "786-597-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6307 westgate dr",
            "address_2": "apt 2111",
            "address_purpose": "LOCATION",
            "city": "orlando",
            "state": "FL",
            "postal_code": "328357082",
            "country_code": "US",
            "telephone_number": "786-597-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANKER",
        "first_name": "KIOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-18",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "B652926280",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.