Active NPI
Rosie Marie Grubbs
- Behavior Analyst
- Boley, OK
National Provider Identifier
1134423627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- RR 1 Box 125
Boley, OK 74829-9724 - Phone
- (918) 667-3718
- NPI assigned
- Dec 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | OK | Primary |
Addresses
Primary practice location
RR 1 Box 125
Boley, OK 74829-9724
Mailing address
RR 1 Box 125
Boley, OK 74829-9724
Phone (918) 667-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147730845 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1134423627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 125",
"city": "BOLEY",
"state": "OK",
"postal_code": "748299724",
"telephone_number": "918-667-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 125",
"city": "BOLEY",
"state": "OK",
"postal_code": "748299724",
"telephone_number": "918-667-3718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "ROSIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147730845",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.