Michelle Parker, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-145455 Issued in OK

Practice address

600 Liberty LN
Edmond, OK 73034-9432

Phone

(183) 273-5549

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1083218689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "183-273-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "183-273-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-20-145455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868060A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BlueSprigPediatrics",
            "affiliation": "N",
            "address_1": "600 Liberty Ln",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730349432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelbi Parish, SLP
• Ceres Parker, OTA
• Christopher Parker
• Kaybrielle Parker
• Kristi Michelle Parker, P. A.
• Selene Parker, LPC
• Valarie J Parker, PTA
• Reid E. Parkison, MD
• Lane Stewart Parks, ATC
• Madison Dawn Parks

• Behavior Technician in Edmond, OK
• Providers in Edmond, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.