Active NPI
Desiree Aleece Ryan
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1467745406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000000000
- Practice address
- 505 NE 46TH St
Oklahoma City, OK 73105-3314 - Phone
- (405) 270-0005
- NPI assigned
- May 24, 2011
- 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 | 000000000 | OK | Primary |
Addresses
Primary practice location
505 NE 46TH St
Oklahoma City, OK 73105-3314
Mailing address
505 NE 46TH St
Oklahoma City, OK 73105-3314
Phone (405) 270-0005
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 |
|---|---|---|---|
| 000000000 | OK | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promises Inc. | 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.
-
- Community/Behavioral Health Agency
- Edmond, OK
- NPI 1528361458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1467745406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 NE 46TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731053314",
"telephone_number": "405-270-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 46TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731053314",
"telephone_number": "405-270-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DESIREE",
"middle_name": "ALEECE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "000000000",
"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 May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.