Individual provider Active NPI

Rowlena Duncan Hartman, BCBA, M.ED, BN, RN

  • Behavior Analyst
  • Ardmore, OK
National Provider Identifier
1033760038
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12044379 Issued in OK
Practice address
307 4TH Ave SE
Ardmore, OK 73401-8216
Phone
(580) 221-0315
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44379 OK
Behavior Analyst 103K00000X 12044379 OK Primary

Addresses

Primary practice location

307 4TH Ave SE
Ardmore, OK 73401-8216

Mailing address

PO Box 185
Ardmore, OK 73402-0185
Phone (580) 221-0315

Other practice location 1

243 Cook Ave
Raton, NM 87740-3930
Phone (580) 319-5770 ext. 2

Other identifiers 2

IdentifierTypeStateIssuer
45088845MedicaidNM
200868590AMedicaidOK

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
Bachelor of Nursing, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
12044379OKMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tabi Clinic LLC Behavior Analyst Current Accepting new patients

Locations

243 Cook Ave
Raton, NM 87740
Phone (580) 319-5770

307 4th Ave SE
Ardmore, OK 73401
Phone (580) 300-3010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1033760038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734020185",
            "telephone_number": "580-221-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 4TH AVE SE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734018216",
            "telephone_number": "580-221-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Cook Ave",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "877403930",
            "country_code": "US",
            "telephone_number": "580-319-5770 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ROWLENA",
        "middle_name": "DUNCAN",
        "credential": "BCBA, M.ED, BN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-20-44379",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "12044379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45088845",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.