Active NPI
Kelsie Elizabeth Basso
- Pharmacist
- Houston, TX
National Provider Identifier
1013514439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 67519 | TX | MD | Mental 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.