Individual provider Active NPI

Kenya Kay Bright, MS

  • Social Worker
  • Racine, WI
National Provider Identifier
1881611226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2428120 Issued in WI
Practice address
3710 Douglas Avenue
Racine, WI 53402-3227
Phone
(262) 639-8084
Fax
(262) 639-8086
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2428120 WI Primary

Addresses

Primary practice location

3710 Douglas Avenue
Racine, WI 53402-3227

Mailing address

3710 Douglas Avenue
Racine, WI 53402-3227
Phone (262) 639-8084

Other identifiers 1

IdentifierTypeStateIssuer
40910400MedicaidWI

Other names 1

  • Kenya Kay Doughty Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2428120WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881611226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 DOUGLAS AVENUE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023227",
            "telephone_number": "262-639-8084",
            "fax_number": "262-639-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 DOUGLAS AVENUE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023227",
            "telephone_number": "262-639-8084",
            "fax_number": "262-639-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "KENYA",
        "middle_name": "KAY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2428120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40910400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "DOUGHTY",
            "middle_name": "KAY",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.