Kenisha Rotibi

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KENISHA ROTIBI

Practice address

5963 Ridgeway Dr
Grand Prairie, TX 75052-0444

Phone

(972) 890-6101

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Kenisha RotibiNPI 1679029136

Title

Owner

Phone

(972) 890-6101

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenisha Rotibi

  • Case Management Agency
  • Grand Prairie, TX
  • NPI 1679029136

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1245929108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520444",
            "telephone_number": "972-890-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENISHA ROTIBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "ROTIBI",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-890-6101"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karan Williams Kelly, P.T.
• Lisa Kelly, PA-C
• Kelmed Wellness Center
• Kemg Home Health Care Inc
• Kemtess Home Care Services Inc.
• Lynn Keniston, DMD
• Kenpan Hu DMD PA
• Kesha Deshea Thomas LPC, PLLC
• Keturah Health, LLC
• Keystone Psychiatric Case Management Services

• Clinical Social Worker in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.