Individual provider Active NPI

Kinslee Elizabeth Isaman, BACHELOR'S DEGREE

  • Behavior Technician
  • Irving, TX
National Provider Identifier
1275122368
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
555 Promenade Pkwy Apt 325
Irving, TX 75039-1285
Phone
(425) 308-4701
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 TX Primary

Addresses

Primary practice location

555 Promenade Pkwy Apt 325
Irving, TX 75039-1285

Mailing address

555 Promenade Pkwy Apt 325
Irving, TX 75039-1285
Phone (425) 308-4701

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

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275122368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PROMENADE PKWY APT 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750391285",
            "telephone_number": "425-308-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PROMENADE PKWY APT 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750391285",
            "telephone_number": "425-308-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAMAN",
        "first_name": "KINSLEE",
        "middle_name": "ELIZABETH",
        "credential": "BACHELOR'S DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.