Active NPI
Angelia Rhea
- Behavior Technician
- Radcliff, KY
National Provider Identifier
1629686308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-127999
- Practice address
- 363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302 - Phone
- (270) 352-1133
- NPI assigned
- Jul 17, 2020
- 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 | RBT-20-127999 | KY | Primary |
Addresses
Primary practice location
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Mailing address
76 Nell CT
Brandenburg, KY 40108-5424
Phone (270) 317-9212
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-20-127999 | KY | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention and Consultation Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Leitchfield, KY
- NPI 1780092957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1629686308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 NELL CT",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401085424",
"telephone_number": "270-317-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 W LINCOLN TRAIL BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401603302",
"telephone_number": "270-352-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEA",
"first_name": "ANGELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-20-127999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.