Tammika L Kelly

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3240 Las Vegas Blvd N Apt 344
Las Vegas, NV 89115-1548

Phone

(951) 202-2932

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1093226540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 LAS VEGAS BLVD N APT 344",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151548",
            "telephone_number": "951-202-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 LAS VEGAS BLVD N APT 344",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151548",
            "telephone_number": "951-202-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TAMMIKA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Kelly, BA
• Pardis A Kelly, DPM
• Rae Francis Kelly, B.S.,D.C.
• Scott Kelly, LPN
• Sean Kelly
• Thomas Francis Kelly, M.D.
• Tracy Lee Kelly
• Unica Kelly
• Victoria Kelly
• Zoey R Kelman

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.