Active NPI
Natalie Lynn Hetzer I
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1093596165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4127 NW 122ND St Ste C
Oklahoma City, OK 73120-8880 - Phone
- (405) 455-6868
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
4127 NW 122ND St Ste C
Oklahoma City, OK 73120-8880
Mailing address
1900 E 15TH St Ste 800B
Edmond, OK 73013-6682
Phone (405) 455-6868
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden View Learning Center, LLC | Behavior Technician | Past | Accepting new patients |
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": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1093596165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E 15TH ST STE 800B",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136682",
"telephone_number": "405-455-6868",
"fax_number": "405-562-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4127 NW 122ND ST STE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208880",
"telephone_number": "405-455-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZER",
"first_name": "NATALIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.