Individual provider Active NPI

Kathryn Elizabeth Fair, BSC

  • Behavior Analyst
  • Du Bois, PA
National Provider Identifier
1972169993
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH002382 Issued in PA
Practice address
25 E Park Ave Ste 8
Du Bois, PA 15801-2271
Phone
(814) 371-3763
Fax
(814) 371-4638
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH002382 PA Primary

Addresses

Primary practice location

25 E Park Ave Ste 8
Du Bois, PA 15801-2271

Mailing address

25 E Park Ave
Du Bois, PA 15801-2271
Phone (814) 335-6510

Other identifiers 1

IdentifierTypeStateIssuer
BH002382OtherPAPA BUREAU OF PROFESSIONAL & OCCUPATIONAL AFAIRS

Other names 1

  • Kathryn Elizabeth Barrans Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.fair@merakey.org Health Information Exchange (HIE)

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
BH002382PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1972169993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E PARK AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012271",
            "telephone_number": "814-335-6510",
            "fax_number": "814-371-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E PARK AVE STE 8",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012271",
            "telephone_number": "814-371-3763",
            "fax_number": "814-371-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "BSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BUREAU OF PROFESSIONAL & OCCUPATIONAL AFAIRS",
            "identifier": "BH002382",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.fair@merakey.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 E Park Ave",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158012271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BARRANS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

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

Verify at the official NPI Registry.