Active NPI
Amelia Patterson
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1225785470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-195246
- Practice address
- 5100 N Brookline Ave
Oklahoma City, OK 73112-3623 - Phone
- (580) 235-5329
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- 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 Technician | 106S00000X | RBT-21-195246 | OK | Primary |
Addresses
Primary practice location
5100 N Brookline Ave
Oklahoma City, OK 73112-3623
Mailing address
4236 NW 28TH St
Oklahoma City, OK 73107-1202
Phone (405) 481-6423
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-21-195246 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1225785470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 NW 28TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071202",
"telephone_number": "405-481-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 N BROOKLINE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123623",
"telephone_number": "580-235-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "AMELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT-21-195246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.