Individual provider Active NPI

Kristin Kemerer

  • Behavior Analyst
  • Bay City, MI
National Provider Identifier
1972994879
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000236 Issued in MI
Practice address
3710 Katalin CT
Bay City, MI 48706-2160
Phone
(989) 324-2012
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 7401000236 MI Primary

Addresses

Primary practice location

3710 Katalin CT
Bay City, MI 48706-2160

Mailing address

3710 Katalin CT
Bay City, MI 48706-2160
Phone (989) 326-1719

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
7401000236MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Therapy Center, LLC Behavior Analyst CurrentSince Dec 13, 2020 Accepting new patients
Encompass Therapy Center, LLC Behavior Analyst CurrentSince Dec 22, 2024 Accepting new patients

Locations

3710 Katalin Ct
Bay City, MI 48706
Phone (989) 324-2012

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1972994879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-326-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-324-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERER",
        "first_name": "KRISTIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.