Individual provider Active NPI

Lindsay Rose

  • Behavior Technician
  • Shelbyville, TN
National Provider Identifier
1912773987
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-174963 Issued in TN
Practice address
113 Eaglette Way
Shelbyville, TN 37160-9263
Phone
(931) 684-8681
Fax
(931) 684-9431
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-174963 TN Primary

Addresses

Primary practice location

113 Eaglette Way
Shelbyville, TN 37160-9263

Mailing address

113 Eaglette Way
Shelbyville, TN 37160-9263
Phone (931) 684-8681

Other practice location 1

1600 Jason Maxwell Blvd
Lewisburg, TN 37091-2018
Phone (931) 684-9203

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
RBT-21-174963TNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Development Center Behavior Technician PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1912773987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EAGLETTE WAY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371609263",
            "telephone_number": "931-684-8681",
            "fax_number": "931-684-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EAGLETTE WAY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371609263",
            "telephone_number": "931-684-8681",
            "fax_number": "931-684-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Jason Maxwell Blvd",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370912018",
            "country_code": "US",
            "telephone_number": "931-684-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-21-174963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.