Active NPI
Kelsey Maxwell
- Student in an Organized Health Care Education/Training Program
- Cincinnati, OH
National Provider Identifier
1902332356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TZ711973
- Practice address
- 286 Compton Rd
Cincinnati, OH 45215-4142 - Phone
- (513) 886-3913
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | TZ711973 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TZ711973 | OH | Primary |
Addresses
Primary practice location
286 Compton Rd
Cincinnati, OH 45215-4142
Mailing address
286 Compton Rd
Cincinnati, OH 45215-4142
Phone (513) 886-3913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TZ711973 | OH | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1902332356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 COMPTON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452154142",
"telephone_number": "513-886-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 COMPTON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452154142",
"telephone_number": "513-886-3913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "OH",
"license": "TZ711973",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "TZ711973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.