Individual provider Active NPI

Kelsie Elizabeth Basso

  • Pharmacist
  • Houston, TX
National Provider Identifier
1013514439
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67519 Issued in TX
Practice address
2525 Holly Hall St
Houston, TX 77054-4124
Phone
(254) 493-9809
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 67519 TX Primary

Addresses

Primary practice location

2525 Holly Hall St
Houston, TX 77054-4124

Mailing address

3131 Memorial CT Apt 316
Houston, TX 77007-6182
Phone (254) 493-9809

Other practice location 1

1602 Garth Rd
Baytown, TX 77520-2410
Phone (254) 493-9809

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
67519TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1013514439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 MEMORIAL CT APT 316",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076182",
            "telephone_number": "254-493-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HOLLY HALL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544124",
            "telephone_number": "254-493-9809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Garth Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775202410",
            "country_code": "US",
            "telephone_number": "254-493-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSO",
        "first_name": "KELSIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "67519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.