Active NPI
Anita M. Nelson
- Behavior Analyst
- West Plains, MO
National Provider Identifier
1427307024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2012039324
- Practice address
- 8388 PR 2731
West Plains, MO 65775 - Phone
- (417) 293-3446
- Fax
- (417) 256-0085
- NPI assigned
- Aug 29, 2012
- Last updated
- May 6, 2013
- 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 Analyst | 103K00000X | 2012039324 | MO | Primary |
Addresses
Primary practice location
8388 PR 2731
West Plains, MO 65775
Mailing address
1404 Southern Hills PMB 262
West Plains, MO 65775
Phone (417) 293-3446
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 |
|---|---|---|---|
| 2012039324 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1427307024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 SOUTHERN HILLS PMB 262",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "417-293-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8388 PR 2731",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "417-293-3446",
"fax_number": "417-256-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANITA",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2012039324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.