Active NPI
Misty Gilbert, RBT
- Behavior Analyst
- Austin, TX
National Provider Identifier
1225510894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44948
- Practice address
- 5307 Airport Blvd Ste C
Austin, TX 78751-2258 - Phone
- (512) 561-1240
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | RBT-17-31437 | TX | |
| Behavior Analyst | 103K00000X | 1-20-44948 | TX | Primary |
Addresses
Primary practice location
5307 Airport Blvd Ste C
Austin, TX 78751-2258
Mailing address
3607 South Lamar Blvd.
Apt. 1354
Austin, TX 78704-0391
Phone (620) 490-0262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-17-31437 | Other | TX | BACB |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-31437 | TX | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Connect to Wellness, LLC | Behavior Analyst | Past | 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": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1225510894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 SOUTH LAMAR BLVD.",
"address_2": "APT. 1354",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787040391",
"telephone_number": "620-490-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 AIRPORT BLVD STE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512258",
"telephone_number": "512-561-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "MISTY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "RBT-17-31437",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-20-44948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-17-31437",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.