Individual provider Active NPI

Kelly Webb, RBT

  • Behavior Technician
  • Louisville, KY
National Provider Identifier
1245659689
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-35728 Issued in IN
Practice address
800 W Woodlawn Ave
Louisville, KY 40215
Phone
(502) 409-7180
Fax
(888) 450-0935
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-35728 IN Primary

Addresses

Primary practice location

800 W Woodlawn Ave
Louisville, KY 40215

Mailing address

3211 Grant Line Rd
15
New Albany, IN 47150-2175
Phone (502) 417-9830

Other practice location 1

3211 Grant Line Rd
15
New Albany, IN 47150-2175
Phone (502) 417-9830

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
RBT-17-35728INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Analysts of Texas, LLC Past Accepting new patients
Clinical Behavior Analysis Past Accepting new patients
Kentucky Association for Behavior Interventions Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1245659689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 GRANT LINE RD",
            "address_2": "15",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502175",
            "telephone_number": "502-417-9830",
            "fax_number": "866-859-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40215",
            "telephone_number": "502-409-7180",
            "fax_number": "888-450-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 Grant Line Rd",
            "address_2": "15",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502175",
            "country_code": "US",
            "telephone_number": "502-417-9830",
            "fax_number": "866-859-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KELLY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-17-35728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.