KAYTON MICHELLE AUSTIN BS, NPI 1184143901 — DANVILLE (IL)

NPI 1184143901

2+ Years Experience Individual

KAYTON MICHELLE AUSTIN BS

09/13/2017
PROVIDER ENUMERATION DATE
09/13/2017
LAST UPDATE DATE
1184143901
NPI NUMBER

About KAYTON MICHELLE AUSTIN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

KAYTON MICHELLE AUSTIN is a provider established in DANVILLE, IL. The NPI number of KAYTON MICHELLE AUSTIN is 1184143901 and was assigned on 09/13/2017. The practitioners primary taxonomy code is: 101YM0800X .

Mailing address

  • City: DANVILLE
  • State: IL
  • Postal code: 618325410
  • Phone: 2174423200
  • Fax: 2174427460
  • Address: 210 AVENUE C

Primary Practice Address

  • Region : DANVILLE, IL
  • NPI : 1184143901
  • Phone : (217) 442-3200
  • Fax : 2174427460
  • Postalcode : 618325410
  • Address : 210 AVENUE C

Provider taxonomy - Counselor

  • Taxonomy code: 101YM0800X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • KAYTON MICHELLE AUSTIN BS
  • Address : 210 AVENUE C
  • Region : DANVILLE, IL
  • NPI : 1184143901
  • Phone : (217) 442-3200
  • Fax : 2174427460
  • Postalcode : 618325410

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address210 AVENUE C
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameDANVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameIL
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code618325410
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number(217) 442-3200
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2174427460
The fax number associated with the location address of the provider being identified.
NPI1184143901
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1101YM0800X
Provider Enumeration Date09/13/2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/13/2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)KAYTON MICHELLE AUSTIN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address210 AVENUE C
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameDANVILLE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameIL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code618325410
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2174423200
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2174427460
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1101YM0800X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Counselor
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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