Kelsey Lyn Bigheart

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

L083501454 Issued in OK

Practice address

600 Liberty LN
Edmond, OK 73034-9432

Phone

(405) 714-4290

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1366095861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SHUMARD CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741532",
            "telephone_number": "405-714-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "405-714-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 S Deer Trail",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "74074",
            "country_code": "US",
            "telephone_number": "405-714-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGHEART",
        "first_name": "KELSEY",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-09-06",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "L083501454",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "L083501454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishan Raj Bhanot
• Nilaksha Bhatt, M.D.
• Terri Lynn Bieri, M.A.
• Big Blue Star LLC
• Big Love Counseling and Wellness
• Troyya Biglow
• Bill Spence Ms, LPC Professional Corp.
• Abigail Billen, CCC-SLP
• Billie L. Burke, M.a., L.P.C., P.C.
• Ronald Keith Billman, DDS, MS

• Behavior Technician in Edmond, OK
• Providers in Edmond, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.