Individual provider Active NPI

Morgan Natalia Rosales

  • Behavior Technician
  • Midwest City, OK
National Provider Identifier
1487308771
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22-199906 Issued in OK
Practice address
1121 S Douglas Blvd Ste a
Midwest City, OK 73130-5210
Phone
(405) 582-3990
NPI assigned
Feb 7, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 22-199906 OK Primary

Addresses

Primary practice location

1121 S Douglas Blvd Ste a
Midwest City, OK 73130-5210

Mailing address

1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Phone (580) 280-1629

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL CR

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

LicenseStateTypeSpecialty
22-199906OKMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1487308771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105103",
            "telephone_number": "580-280-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S DOUGLAS BLVD STE A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305210",
            "telephone_number": "405-582-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MORGAN",
        "middle_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "22-199906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "CR",
            "affiliation": "N",
            "address_1": "1717 S Air Depot Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731105103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.