Active NPI
Travis Hummingbird
- Behavior Technician
- Tulsa, OK
National Provider Identifier
1194498188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4908 S Sheridan Rd
Tulsa, OK 74145-5712 - Phone
- (918) 948-9153
- NPI assigned
- Jul 27, 2021
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Mailing address
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Phone (918) 948-9153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10947 N 20TH St W
Wagoner, OK 74467-8072
1101 S Belmont Ave
Suite 204
Okmulgee, OK 74447-6315
9820 E 41St St
Suite 302
Tulsa, OK 74146-3651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echota Behavioral Health Services, LLC | Current | Accepting new patients | |
| Spectrum of Hope, LLC | Past | Accepting new patients |
Locations
16414 W 760 Rd
Tahlequah, OK 74464
Phone (918) 537-4482
1640 W Keetoowah St
Tahlequah, OK 74464
Phone (918) 456-2250
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Tahlequah, OK
- NPI 1407477920
TX
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1669983409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1194498188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-948-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741455712",
"telephone_number": "918-948-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMINGBIRD",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.