Active NPI
Kelsea Shulewitz, RBT
- Behavior Technician
- Omaha, NE
National Provider Identifier
1407598212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-210082
- Practice address
- 1299 Farnam St Ste 300
Omaha, NE 68102-1857 - Phone
- (402) 347-4191
- Fax
- (646) 859-4440
- NPI assigned
- Apr 12, 2022
- Last updated
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 22-210082 | NE | Primary |
Addresses
Primary practice location
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Mailing address
560 Sylvan Ave Ste 1110
Englewood Cliffs, NJ 07632-3118
Phone (646) 873-6600
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 |
|---|---|---|---|
| 22-210082 | NE | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1407598212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 SYLVAN AVE STE 1110",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323118",
"telephone_number": "646-873-6600",
"fax_number": "646-859-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 FARNAM ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021857",
"telephone_number": "402-347-4191",
"fax_number": "646-859-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULEWITZ",
"first_name": "KELSEA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "22-210082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.