Active NPI
Rebecca Jamison
- Behavior Technician
- Lewisburg, TN
National Provider Identifier
1114451697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-22688
- Practice address
- 1600 Jason Maxwell Blvd
Lewisburg, TN 37091-2018 - Phone
- (931) 359-1197
- Fax
- (931) 359-7705
- NPI assigned
- Apr 12, 2017
- 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 | RBT-16-22688 | TN | Primary |
Addresses
Primary practice location
1600 Jason Maxwell Blvd
Lewisburg, TN 37091-2018
Mailing address
1600 Jason Maxwell Blvd
Lewisburg, TN 37091-2018
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 |
|---|---|---|---|
| RBT-16-22688 | TN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Development Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Child Development Center
- Behavior Analyst
- Lewisburg, TN
- NPI 1891145678
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1114451697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 JASON MAXWELL BLVD",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 JASON MAXWELL BLVD",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912018",
"telephone_number": "931-359-1197",
"fax_number": "931-359-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "RBT-16-22688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, TN
- Stacey Jannette Huey, M.ED, BA
- Kimberly Fowler Huffman, RN, MSN, APRN
- Independent Physical Therapy (BenchMark PT)
- Iris Med LLC
- J Lancaster Rose Jr
- Robin Gayle Jamison, RN
- JCL Express Walk-in Clinic, LLC
- Randall Wayne Jean
- Bruce A Jenkins, D.D.S.
- John Billingsley DC PC (Lewisburg Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.