Individual provider Active NPI

Kelly Ann Blessing, ATP

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Humble, TX
National Provider Identifier
1629678032
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
License
91857 Issued in TX
Practice address
2111 FM 1960 Rd E
Humble, TX 77338-5229
Phone
(832) 628-8835
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Rehabilitation CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 225CA2400X 91857 TX Primary

Addresses

Primary practice location

2111 FM 1960 Rd E
Humble, TX 77338-5229

Mailing address

2111 FM 1960 Rd E
Humble, TX 77338-5229
Phone (832) 628-8835

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

LicenseStateTypeSpecialty
91857TXMDAssistive Technology Practitioner Rehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1629678032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385229",
            "telephone_number": "832-628-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385229",
            "telephone_number": "832-628-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESSING",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "91857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.