Individual provider Active NPI

Natsumi Kitami, RBT

  • Behavior Technician
  • Santa Ana, CA
National Provider Identifier
1982139960
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-19770 Issued in HI
Practice address
1901 Carnegie Ave
Suite 1-C
Santa Ana, CA 92705-5504
Phone
(800) 273-4292
Fax
(949) 253-4627
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-19770 HI Primary

Addresses

Primary practice location

1901 Carnegie Ave
Suite 1-C
Santa Ana, CA 92705-5504

Mailing address

1901 Carnegie Ave
Suite 1-C
Santa Ana, CA 92705-5504
Phone (800) 273-4292

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
RBT-16-19770HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Behavioral Interventions, Inc. Behavior Technician PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1982139960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CARNEGIE AVE",
            "address_2": "SUITE 1-C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055504",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CARNEGIE AVE",
            "address_2": "SUITE 1-C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055504",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAMI",
        "first_name": "NATSUMI",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-16-19770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.