Maiesha N Kenney

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

4031 Blueberry CT
Dickinson, TX 77539-6289

Phone

(409) 443-4290

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1356910442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 BLUEBERRY CT",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396289",
            "telephone_number": "409-443-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 BLUEBERRY CT",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396289",
            "telephone_number": "409-443-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "MAIESHA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1413198",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dickinson",
            "affiliation": "N",
            "endpointDescription": "helpinghandscare2021@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone number",
            "address_1": "4031 Blueberry Ct",
            "city": "Dickinson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775396289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Lynn Jones, OT
• Brigit Jose
• Jessica Joann Kaliel, AGACNP-BC
• Jennifer Amaya Karner, WHCNP
• Ross Edward Keiser, PHD
• Kevin J Owens
• Farah Khan, DMD
• Shemika Shante King
• Kristin Kliethermes
• Robert Knoth, PA-C

• Adult Care Home Facility in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.