Individual provider Active NPI

Brittany Nesbitt

  • Psychologist
  • Topeka, KS
National Provider Identifier
1902314966
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03076 Issued in KS
Practice address
325 SW Frazier Ave
Topeka, KS 66606-1963
Phone
(785) 232-5005
Fax
(888) 972-5038
NPI assigned
Jan 11, 2018
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03076 KS Primary
Clinical Child & Adolescent Psychologist 103TC2200X
Student in an Organized Health Care Education/Training Program 390200000X OH

Addresses

Primary practice location

325 SW Frazier Ave
Topeka, KS 66606-1963

Mailing address

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Other practice location 1

117 Health Science Bldg 3640 Colonel Glenn Hwy
Dayton, OH 45435-0001
Phone (937) 775-3458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001709 MD Practitioner - Clinical Psychologist 3577097245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03076KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Krieger Associates CurrentSince Sep 7, 2024 Accepting new patients
Kennedy Krieger Associates CurrentSince Sep 7, 2024 Accepting new patients

Locations

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1902314966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW FRAZIER AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061963",
            "telephone_number": "785-232-5005",
            "fax_number": "888-972-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW FRAZIER AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061963",
            "telephone_number": "785-232-5005",
            "fax_number": "888-972-5038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Health Science Bldg 3640 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454350001",
            "country_code": "US",
            "telephone_number": "937-775-3458",
            "fax_number": "937-775-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "03076",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.