Individual provider Active NPI

Jazmine Walton

  • Behavior Technician
  • Madison, AL
National Provider Identifier
1184482275
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-271276 Issued in AL
Practice address
100 Spenryn Dr
Madison, AL 35758-1890
Phone
(256) 772-4400
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-271276 AL Primary

Addresses

Primary practice location

100 Spenryn Dr
Madison, AL 35758-1890

Mailing address

100 Spenryn Dr
Madison, AL 35758-1890

Other identifiers 1

IdentifierTypeStateIssuer
RBT-23-271276OtherALRBT-23-271276

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jazminewalton.jw@gmail.com

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
RBT-23-271276ALMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Concepts CurrentSince Mar 17, 2024 Accepting new patients

Locations

100 Spenryn Dr
Madison, AL 35758
Phone (256) 772-4400

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1184482275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-23-271276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT-23-271276",
            "identifier": "RBT-23-271276",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jazminewalton.jw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "jazminewalton.jw@gmail.com",
            "address_1": "100 Spenryn Dr",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357581890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.