Active NPI
Adrian Jade Melton-Williams
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1477275972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1722 S Carson Ave
Apt 907
Tulsa, OK 74119-7411 - Phone
- (580) 743-7069
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB770606 | OK | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1722 S Carson Ave
Apt 907
Tulsa, OK 74119-7411
Mailing address
1722 S Carson Ave
Apt 907
Tulsa, OK 74119-2205
Phone (580) 743-7069
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 |
|---|---|---|---|
| BACB770606 | OK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach Me LLC | Past | Accepting new patients | |
| Therapy & Beyond Medical Management, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1669146171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1477275972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 S CARSON AVE",
"address_2": "APT 907",
"city": "TULSA",
"state": "OK",
"postal_code": "741192205",
"telephone_number": "580-743-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 S CARSON AVE",
"address_2": "APT 907",
"city": "TULSA",
"state": "OK",
"postal_code": "741197411",
"telephone_number": "580-743-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON-WILLIAMS",
"first_name": "ADRIAN",
"middle_name": "JADE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "BACB770606",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.