Active NPI
Renae J Dudley
- Behavior Analyst
- Guthrie, OK
National Provider Identifier
1518265461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 928 Shady Creek Cir
8428Huckleberryrd.
Guthrie, OK 73044-4526 - Phone
- (405) 243-5106
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | OK | Primary |
Addresses
Primary practice location
928 Shady Creek Cir
8428Huckleberryrd.
Guthrie, OK 73044-4526
Mailing address
928 Shadycreek Circle
Guthrie, OK 73044
Phone (405) 243-5106
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1518265461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 SHADYCREEK CIRCLE",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "73044",
"telephone_number": "405-243-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 SHADY CREEK CIR",
"address_2": "8428HUCKLEBERRYRD.",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730444526",
"telephone_number": "405-243-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "RENAE",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.