Active NPI
Kelly S Nix, DENTAL HYGIENIST
- Dental Hygienist
- Levelland, TX
National Provider Identifier
1295027993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4498
- Practice address
- 1000 FM 300
Levelland, TX 79336-6235 - Phone
- (806) 894-7842
- Fax
- (806) 894-3378
- NPI assigned
- May 12, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4498 | TX | Primary |
Addresses
Primary practice location
1000 FM 300
Levelland, TX 79336-6235
Mailing address
1000 FM 300
Levelland, TX 79336-6235
Phone (806) 894-7842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121513902 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4498 | TX | MD | Marriage & Family Therapist |
Interoperability endpoints
- kelly.nix@sprhs.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1295027993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FM 300",
"city": "LEVELLAND",
"state": "TX",
"postal_code": "793366235",
"telephone_number": "806-894-7842",
"fax_number": "806-894-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FM 300",
"city": "LEVELLAND",
"state": "TX",
"postal_code": "793366235",
"telephone_number": "806-894-7842",
"fax_number": "806-894-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "KELLY",
"middle_name": "S",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "4498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121513902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levelland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.