Active NPI
Andrea Mary Noble
- Behavior Technician
- Rochester, MN
National Provider Identifier
1952952509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1470 Industrial Dr NW
Rochester, MN 55901-0700 - Phone
- (507) 358-8253
- NPI assigned
- Sep 25, 2019
- 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 | MN | Primary |
Addresses
Primary practice location
1470 Industrial Dr NW
Rochester, MN 55901-0700
Mailing address
402 2ND Ave SW Apt 8
Kasson, MN 55944-1296
Phone (507) 358-8253
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | caravelautism.com | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1952952509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 2ND AVE SW APT 8",
"city": "KASSON",
"state": "MN",
"postal_code": "559441296",
"telephone_number": "507-358-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 INDUSTRIAL DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010700",
"telephone_number": "507-358-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "ANDREA",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "caravelautism.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "329 Elton Hills Dr NW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559012477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.