Active NPI
Kile Christopher Nugent, BCBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1255017158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 5979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Autism Center | Past | 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.
-
- Community/Behavioral Health Agency
- Round Rock, TX
- NPI 1376778415
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.