Active NPI
Kelli Marie Hyde, MSW, BCBA, COBA
- Behavior Analyst
- Cincinnati, OH
National Provider Identifier
1093232183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- COBA338
- Practice address
- 1255 Kemper Meadow Dr
Cincinnati, OH 45240-1633 - Phone
- (513) 294-1522
- Fax
- (765) 454-9759
- NPI assigned
- Aug 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22259 | OH | |
| Behavior Analyst | 103K00000X | COBA338 | OH | Primary |
Addresses
Primary practice location
1255 Kemper Meadow Dr
Cincinnati, OH 45240-1633
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1034 Weaver Rd
Okeana, OH 45053-7500
Phone (317) 512-2101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-22259 | Other | BCBA CERTIFICATE | |
| 1-16-22259 | Other | OH | BACB |
Other names 1
- Kelli Marie Meiners
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 |
|---|---|---|---|
| COBA338 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093232183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "765-454-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 KEMPER MEADOW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401633",
"telephone_number": "513-294-1522",
"fax_number": "765-454-9759"
}
],
"practiceLocations": [
{
"address_1": "1034 Weaver Rd",
"address_purpose": "LOCATION",
"city": "Okeana",
"state": "OH",
"postal_code": "450537500",
"country_code": "US",
"telephone_number": "317-512-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYDE",
"first_name": "KELLI",
"middle_name": "MARIE",
"credential": "MSW, BCBA, COBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-16-22259",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "COBA338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-16-22259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-16-22259",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "MEINERS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.