MEDICARE: KAREN RENEE HOUSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.339604	OH
2	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	RN.339604	OH
3	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	RN.339604	OH
4	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN.339604	OH
5	163WC0400X	Case Management Registered Nurse	RN.339604	OH
6	163WH0200X	Home Health Registered Nurse	RN.339604	OH
7	342000000X	Transportation Network Company		OH
8	171M00000X	Case Manager/Care Coordinator		OH
9	172A00000X	Driver		OH
10	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	RN.339604	OH
11	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	RN.339604	OH
12	347E00000X	Transportation Broker		OH
13	385HR2055X	Child Mental Illness Respite Care	RN.339604	OH
14	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	RN.339604	OH
15	104100000X	Social Worker	S.0701532	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619276680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN RENEE HOUSTON

Provider Business Mailing Address
First Line	:	6584 HIGHBURY RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-3017
Country	:	US
Telephone Number	:	937-559-9558
Fax Number	:

Provider Business Practice Location Address
First Line	:	813 TROY ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1852
Country	:	US
Telephone Number	:	937-982-5100
Fax Number	:	937-982-1600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	02/21/2024

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Directions to “ KAREN RENEE HOUSTON ” Practice Location

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