Active NPI
Keshia Sherelle Reeves, CRMA
- Peer Specialist
- Humble, TX
National Provider Identifier
1841908134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2325 Atascocita Rd
# C-3, C-5
Humble, TX 77396-4634 - Phone
- (936) 257-3078
- NPI assigned
- Nov 7, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Other Technician | 247200000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2325 Atascocita Rd
# C-3, C-5
Humble, TX 77396-4634
Mailing address
2325 Atascocita Rd
# C-3, C-5
Humble, TX 77396-4634
Phone (936) 257-3078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129777 | Other | TX | AMT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keshiar@triumphantoutreachministry.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1841908134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 ATASCOCITA RD",
"address_2": "# C-3, C-5",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964634",
"telephone_number": "936-257-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 ATASCOCITA RD",
"address_2": "# C-3, C-5",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964634",
"telephone_number": "936-257-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "KESHIA",
"middle_name": "SHERELLE",
"credential": "CRMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMT",
"identifier": "129777",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keshiar@triumphantoutreachministry.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "keshiar@triumphantoutreachministry.org",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "keshiar@triumphantoutreachministry.org",
"address_1": "2325 Atascocita Rd",
"address_2": "# C-3, C-5",
"city": "Humble",
"state": "TX",
"country_code": "US",
"postal_code": "773964634",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 7, 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.