Active NPI
Christian Carol Shirley
- Behavior Analyst
- Lexington, KY
National Provider Identifier
1972154821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 252240
- Practice address
- 1035 Strader Dr
Lexington, KY 40505-4088 - Phone
- (859) 899-9200
- NPI assigned
- Sep 23, 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 Analyst | 103K00000X | 252240 | KY | Primary |
Addresses
Primary practice location
1035 Strader Dr
Lexington, KY 40505-4088
Mailing address
3904 Sundart Dr
Lexington, KY 40517-3861
Phone (270) 670-9498
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
| License | State | Type | Specialty |
|---|---|---|---|
| 252240 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1972154821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 SUNDART DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405173861",
"telephone_number": "270-670-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 STRADER DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054088",
"telephone_number": "859-899-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "CHRISTIAN",
"middle_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "252240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.