Jade G Kestian

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38651 Issued in TX

Practice address

312 Oyster Creek Dr
Lake Jackson, TX 77566-4645

Phone

(512) 981-7249

NPI assigned

Nov 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1669139580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OYSTER CREEK DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664645",
            "telephone_number": "309-532-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OYSTER CREEK DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664645",
            "telephone_number": "512-981-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTIAN",
        "first_name": "JADE",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.jadekestianphd.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 Oyster Creek Dr",
            "city": "Lake Jackson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775664645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samatha Krishna Kadiyala, M.D.
• Kathleen E Sommers (Parking Way Pediatrics)
• Alyssa Dawn Kelly, LPTA
• Katherine Kemp, MOTR/L
• Deborah Kennemer, COTA
• Adiha Ali Khan, DDS
• Kian Nikdel DDS MSD PLLC (Lake Jackson Root Canal Specialists)
• Samantha Diane Kibodeaux, RPH
• Kids Way Clinic
• Jeremy Ray Kier

• Psychologist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Psychologist in Texas

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