Individual provider Active NPI

Natalie Morgan Brown, RBT

  • Behavior Technician
  • Springfield, OR
National Provider Identifier
1114695780
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB710090 Issued in GA
Practice address
219 42ND St
Springfield, OR 97478-5937
Phone
(541) 224-7967
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X BACB710090 GA Primary

Addresses

Primary practice location

219 42ND St
Springfield, OR 97478-5937

Mailing address

1720 Bassett Dr
Mankato, MN 56001-6569

Other practice location 1

10 Long Creek Ln
Richmond Hill, GA 31324-8601
Phone (904) 638-6388

Other practice location 2

1720 Bassett Dr
Mankato, MN 56001-6569
Phone (507) 565-0150

Other names 1

  • Miss Natalie Morgan Kelley Former name

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

LicenseStateTypeSpecialty
BACB710090GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Nocal Behavioral Services LLC PastSince Sep 1, 2021 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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1114695780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BASSETT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016569",
            "fax_number": "800-513-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 42ND ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785937",
            "telephone_number": "541-224-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Long Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313248601",
            "country_code": "US",
            "telephone_number": "904-638-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Bassett Dr",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016569",
            "country_code": "US",
            "telephone_number": "507-565-0150",
            "fax_number": "507-513-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NATALIE",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB710090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "KELLEY",
            "middle_name": "MORGAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.