MRS. SHANDRAE' ROBYN KRISHNAN
Complete NPI Record 1356085690
Behavior Technician in Alameda, CA
Active since April 22, 2022
Complete NPI Dataset
This page contains the complete raw NPPES record for Mrs. Shandrae' Robyn Krishnan (NPI 1356085690), an individual behavior technician provider in Alameda, CA. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1356085690 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/29
- 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 Last Name Legal Name: KRISHNAN Field 3/29
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: SHANDRAE' Field 4/29
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: ROBYN Field 5/29
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: MRS. Field 6/29
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Other Last Name: NAICKER Field 7/29
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: SHANDRAE Field 8/29
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Middle Name: ROBYN Field 9/29
- Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider middle name" if the provider is or has been known by a different last name only.
- Provider Other Name Prefix Text: MRS. Field 10/29
- The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Other Last Name Type Code: 5 Field 11/29
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 1025 ATLANTIC AVE STE 101 Field 12/29
- 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 Name: ALAMEDA Field 13/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 14/29
- 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 Code: 945011188 Field 15/29
- 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 Country Code If outside U S : US Field 16/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 1025 ATLANTIC AVE STE 101 Field 17/29
- 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 Name: ALAMEDA Field 18/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 19/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 945011188 Field 20/29
- 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 Country Code If outside U S : US Field 21/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5102688120 Field 22/29
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 25/29
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 106S00000X Field 26/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 28/29
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 19
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
6565 Americas Pkwy NE Ste 200
Location 1/19Albuquerque, NM 87110-8172 · Phone (866) 273-2451 · Fax (866) 608-5560
1224 W 21st St
Location 2/19Clovis, NM 88101-4199 · Phone (866) 273-2451 · Fax (866) 608-5560
500 N Hudson St
Location 3/19Silver City, NM 88061-5435 · Phone (866) 273-2451 · Fax (866) 608-5560
2301 E 20th St
Location 4/19Farmington, NM 87401-8905 · Phone (866) 273-2451 · Fax (866) 608-5560
950 W Aztec Ave
Location 5/19Gallup, NM 87301-6666 · Phone (866) 273-2451 · Fax (866) 608-5560
301 N Canyon St
Location 6/19Carlsbad, NM 88220-5809 · Phone (866) 273-2451 · Fax (866) 608-5560
201 N 4th St
Location 7/19Artesia, NM 88210-2168 · Phone (866) 273-2451 · Fax (866) 608-5560
100 Gossett Dr Ste B
Location 8/19Aztec, NM 87410-4529 · Phone (866) 273-2451 · Fax (866) 608-5560
1408 8th St
Location 9/19Alamogordo, NM 88310-5115 · Phone (866) 273-2451 · Fax (866) 608-5560
221 N Kansas St Ste 700
Location 10/19El Paso, TX 79901-1444 · Phone (866) 273-2451 · Fax (866) 608-5560
2705 S Alma School Rd Ste 2
Location 11/19Chandler, AZ 85286-4400 · Phone (866) 273-2451 · Fax (866) 608-5560
21168 E Ocotillo Rd # 1078
Location 12/19Queen Creek, AZ 85142-8175 · Phone (866) 273-2451 · Fax (866) 608-5560
2900 E. Broadway Blvd. Ste 100 #1206
Location 13/19Tuscon, AZ 85716-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
809 W Riordan Rd Ste 100, PMB 1113
Location 14/19Flagstaff, AZ 86001-0810 · Phone (866) 273-2451 · Fax (866) 608-5560
186 E Sheldon St # 1119
Location 15/19Prescott, AZ 86301-3114 · Phone (866) 273-2451 · Fax (866) 608-5560
2350 W Highway 89A # 1047
Location 16/19Sedona, AZ 86336-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
201 E Las Cruces Ave Ste 1501
Location 17/19Las Cruces, NM 88001-3488 · Phone (866) 273-2451 · Fax (866) 608-5560
1012 Marquez Pl Unit 106B
Location 18/19Santa Fe, NM 87505-1833 · Phone (866) 273-2451 · Fax (866) 608-5560
115 E College Blvd
Location 19/19Roswell, NM 88201-5158 · Phone (866) 273-2451 · Fax (866) 608-5560
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