Lori Dotson Keith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-198474 Issued in GA

Practice address

808 Avenue B NE Ste D
Rome, GA 30165-2746

Phone

(706) 295-2498

Fax

(706) 295-2267

NPI assigned

Feb 25, 2022

Last updated

Aug 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1750037941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIDGEVIEW DR SE",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732327",
            "telephone_number": "706-676-0789",
            "fax_number": "706-295-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 AVENUE B NE STE D",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652746",
            "telephone_number": "706-295-2498",
            "fax_number": "706-295-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON KEITH",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-307747",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-22-198474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh H Dollahite, LAT, ATC
• Frank R Don Diego, MD
• Richard James Donadio, MD
• John Wayne Donaldson
• Joshua Benjamin Donner, MD
• Alison Rose Douglas, APRN, ACNPC-AG
• Christopher Michael Popham Douglas, LDO
• James T Douglas, MD
• Shelli Douglas, DC
• Christina Douglass, M.D.

• Behavior Technician in Rome, GA
• Providers in Rome, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.