Timothy Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB810385 Issued in OK

Practice address

2248 NW 164TH St
Edmond, OK 73013-8801

Phone

(405) 562-3776

Fax

(405) 562-3313

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• BC Behavioral

  • Community/Behavioral Health Agency
  • Edmond, OK
  • NPI 1194347682
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1124754874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 NW 164TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138801",
            "telephone_number": "405-562-3776",
            "fax_number": "405-562-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 NW 164TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138801",
            "telephone_number": "405-562-3776",
            "fax_number": "405-562-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2248 NW 164th St",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730138801",
            "country_code": "US",
            "telephone_number": "405-562-3776",
            "fax_number": "405-562-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "BACB810385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharron Patrece Smith, B.A.
• Sierra Ashleigh Smith
• Sydney Nicole Smith, C.F.-SLP
• Terri Smith, RD, LD
• Tiffany Smith, RN
• William E. Smith, MD
• Tonda Smoot, LPC
• Taylor Snapp, NURSE PRACTITIONER
• SNB, LLC Dba Personal Health Partners
• Melinda Ann Snelson, AUD, M.S., CCC/A

• 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 Jul 26, 2022; 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.