Individual provider Active NPI

Adelle Elizabeth April-Mari Stilton

  • Behavior Technician
  • Kodiak, AK
National Provider Identifier
1922749746
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
7817009 Issued in AK
Practice address
1520 Baranof St
Kodiak, AK 99615-6521
Phone
(803) 995-0393
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 7817009 AK Primary

Addresses

Primary practice location

1520 Baranof St
Kodiak, AK 99615-6521

Mailing address

1520 Baranof St
Kodiak, AK 99615-6521
Phone (803) 995-0393

Other names 1

  • Adelle Elizabeth April-Mari Vasquez Former name

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
7817009AKMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1922749746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BARANOF ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156521",
            "telephone_number": "803-995-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BARANOF ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156521",
            "telephone_number": "803-995-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILTON",
        "first_name": "ADELLE",
        "middle_name": "ELIZABETH APRIL-MARI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AK",
            "license": "7817009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELLE",
            "last_name": "VASQUEZ",
            "middle_name": "ELIZABETH APRIL-MARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.