Individual provider Active NPI

Kile Christopher Nugent, BCBA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1255017158
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5979 Issued in TX
Practice address
12221 Riata Trace Pkwy Ste 120
Austin, TX 78727-6535
Phone
(737) 205-5992
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 5979 TX Primary

Addresses

Primary practice location

12221 Riata Trace Pkwy Ste 120
Austin, TX 78727-6535

Mailing address

9900 McNeil Dr Apt 4305
Austin, TX 78750-8468
Phone (361) 571-1884

Other practice location 1

1516 E Palm Valley Blvd # C
Round Rock, TX 78664-4619
Phone (512) 733-2800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Autism Center PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1255017158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MCNEIL DR APT 4305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508468",
            "telephone_number": "361-571-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 RIATA TRACE PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276535",
            "telephone_number": "737-205-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 E Palm Valley Blvd # C",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786644619",
            "country_code": "US",
            "telephone_number": "512-733-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "KILE",
        "middle_name": "CHRISTOPHER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.