Active NPI
Kelsy Rae Duke
- Behavior Technician
- Houston, TX
National Provider Identifier
1437794856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-27648
- Practice address
- 15200 Park Row Apt 1022
Houston, TX 77084-5174 - Phone
- (979) 571-4018
- NPI assigned
- Nov 8, 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-16-27648 | TX | Primary |
Addresses
Primary practice location
15200 Park Row Apt 1022
Houston, TX 77084-5174
Mailing address
15200 Park Row Apt 1022
Houston, TX 77084-5174
Phone (979) 571-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-16-27648 | 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 |
|---|---|---|---|
| RBT-16-27648 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1437794856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 PARK ROW APT 1022",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845174",
"telephone_number": "979-571-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 PARK ROW APT 1022",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845174",
"telephone_number": "979-571-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "KELSY",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-16-27648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RBT-16-27648",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.