Individual provider Active NPI

Kari Lynn Willett, MA APA, BEHAVIOR SPC

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1972882983
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
PENDING BCBA EXAM Issued in KY
Practice address
116 Evergreen Rd
Louisville, KY 40243-1440
Phone
(502) 475-2471
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 PENDING BCBA EXAM KY Primary

Addresses

Primary practice location

116 Evergreen Rd
Louisville, KY 40243-1440

Mailing address

116 Evergreen Rd
Louisville, KY 40243-1440
Phone (502) 475-2471

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
PENDING BCBA EXAMKYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1972882983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERGREEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431440",
            "telephone_number": "502-475-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EVERGREEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431440",
            "telephone_number": "502-475-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA APA, BEHAVIOR SPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "PENDING BCBA EXAM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.