Individual provider Active NPI

Micayla Rose Bartholet

  • Behavior Technician
  • Iowa City, IA
National Provider Identifier
1992464226
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
44 Sturgis Corner Dr Ste 4
Iowa City, IA 52246-5617
Phone
(319) 430-8232
Fax
(319) 351-5754
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 NU Primary

Addresses

Primary practice location

44 Sturgis Corner Dr Ste 4
Iowa City, IA 52246-5617

Mailing address

44 Sturgis Corner Dr Ste 4
Iowa City, IA 52246-5617
Phone (319) 430-8232

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

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1992464226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STURGIS CORNER DR STE 4",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-430-8232",
            "fax_number": "319-351-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STURGIS CORNER DR STE 4",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-430-8232",
            "fax_number": "319-351-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLET",
        "first_name": "MICAYLA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.