Krista Anne-Shockley Hesemann

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-181902 Issued in SC

Practice address

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312

Phone

(855) 832-6727

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Anne Shockley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1316606734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARQUETTE AVE NW STE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARQUETTE AVE NW STE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025312",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESEMANN",
        "first_name": "KRISTA",
        "middle_name": "ANNE-SHOCKLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-21-181902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SHOCKLEY",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Xolal Herzig, MD
• Candice Nichole Herzog
• Jocelyn Herzog, LMSW
• Nina Jean Herzog, ACNP-BC
• Thomas E Hesch, DDS
• Darlene Ruth Hess, NURSE PRACTITIONER
• Natalie Ann Hess
• Timothy W Hess, NC, NTS
• Frank Gerhard Hesse, MD
• Justin Hessinger, MD

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

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