Alyssa Marie King

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

520064585364 Issued in MI

Practice address

10781 E Cherry Bend Rd # Studio2
Traverse City, MI 49684-5249

Phone

(231) 268-0007

Fax

(231) 525-3170

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1962091793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10781 E CHERRY BEND RD # STUDIO2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "231-268-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10781 E CHERRY BEND RD # STUDIO2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "231-268-0007",
            "fax_number": "231-525-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "520064585364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kingaly3@msu.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7138 Center St",
            "city": "Alanson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497069550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Lee Kilpatrick, DO
• Jill A Kimball, MSW, LMSW, ACSW
• Rachel Elain Kincaid
• Carol Urquhart Kindt, M.S.W.
• Allison King
• Lexie Joyce King
• Marinoel King, MS,LLPC
• Shelly R King, PTA
• Simone E King, PMHNPCE-DNP
• Madalene Paige Kinser

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.