NPIMap

Organization Active NPI

Rebecca Womack

  • Behavior Analyst
  • Joelton, TN
National Provider Identifier
1477819753
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8127 Issued in TN
Legal business name
REBECCA WOMACK
Practice address
3196 Union Hill Rd
Joelton, TN 37080-8721
Phone
(615) 879-6425
Fax
(888) 262-4313
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Rebecca A WomackNPI 1356679773
Title
Behavior Analyst
Phone
(615) 879-6425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-8127 TN Primary

Addresses

Primary practice location

3196 Union Hill Rd
Joelton, TN 37080-8721

Mailing address

3196 Union Hill Rd
Joelton, TN 37080-8721

Other identifiers 1

IdentifierTypeStateIssuer
1512668MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1477819753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 UNION HILL RD",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 UNION HILL RD",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808721",
            "telephone_number": "615-879-6425",
            "fax_number": "888-262-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA WOMACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "615-879-6425"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-11-8127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512668",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joelton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.