Taylor Faith Bennett

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

429 N Union Ave
Shawnee, OK 74801-7064

Phone

(405) 275-1844

Fax

(405) 275-1124

NPI assigned

Apr 24, 2023

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creoks Mental Health Services

  dba TruHealth Integrated Care

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1477240968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017064",
            "telephone_number": "405-275-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017064",
            "telephone_number": "405-275-1844",
            "fax_number": "405-275-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TAYLOR",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Medicine Associates, Inc.
• Rachel Beiermann
• Lyric Bell, MFT- CANDIDACY
• Michael Bennett, DMD
• Richard Dean Bennett
• Jordan Benson
• Annette Bentley
• Bethel Public Schools
• Caitlin Dawn Bilyeu
• Bio-Medical Applications of Oklahoma, Inc. (Bma Shawnee)

• Assistant Behavior Analyst in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Assistant Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.