Active NPI
Kayleigh Nesom, RBT
- Behavior Technician
- Dade City, FL
National Provider Identifier
1316506496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-89186
- Practice address
- 11820 Munbury Dr
Dade City, FL 33525-5747 - Phone
- (352) 999-0447
- Fax
- (352) 437-4921
- NPI assigned
- Jun 11, 2019
- Last updated
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-89186 | FL | Primary |
Addresses
Primary practice location
11820 Munbury Dr
Dade City, FL 33525-5747
Mailing address
PO Box 623
San Antonio, FL 33576-0623
Phone (352) 999-0447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayleighnesom@americanbehavioralconsulting.com | Direct |
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 |
|---|---|---|---|
| RBT-19-89186 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Behavioral Consulting of Iowa LLC | Past | Accepting new patients | |
| American Behavioral Consulting LLC | Past | Accepting new patients |
Interoperability endpoints
- kayleighnesom@americanbehavioralconsulting.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Dade City, FL
- NPI 1912442849
-
- Behavior Analyst
- Iowa City, IA
- NPI 1366036873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1316506496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335760623",
"telephone_number": "352-999-0447",
"fax_number": "352-437-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 MUNBURY DR",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255747",
"telephone_number": "352-999-0447",
"fax_number": "352-437-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESOM",
"first_name": "KAYLEIGH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-89186",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayleighnesom@americanbehavioralconsulting.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11820 Munbury Dr",
"city": "Dade City",
"state": "FL",
"country_code": "US",
"postal_code": "335255747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.