Jill Oldham

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2307 Hunters GLN
Wichita Falls, TX 76306-1148

Phone

(972) 467-2602

NPI assigned

Dec 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Mustard Seed Autism Project, Inc

  • Behavior Analyst
  • Arlington, TX
  • NPI 1841409158
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1487042453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14597",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760941597",
            "telephone_number": "817-277-8870",
            "fax_number": "817-277-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 HUNTERS GLN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763061148",
            "telephone_number": "972-467-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma City Vamc
• Oklahoma Eye Institute, LLC
• Nosakhare Uchechukwuka Okoro, M.D.
• Marisha Okpala, PHARMD
• Bernardo Olaya, M.D. P.A.
• Laura Olin
• Charles Morgan Olinger, DMD
• Lateshna D Oliver
• Olney-Hamilton Hospital District
• Adam Olson, PHARMD

• Behavior Analyst in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.