Active NPI
Kristin Grimland
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1518449610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9212 N Kelley Ave
Oklahoma City, OK 73131-2419 - Phone
- (405) 242-5070
- NPI assigned
- Sep 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9212 N Kelley Ave
Oklahoma City, OK 73131-2419
Mailing address
6612 NW 31St Ter
Bethany, OK 73008-4012
Phone (405) 474-7898
Other practice location 1
6612 NW 31st Ter
Bethany, OK 73008-4012
Phone (405) 474-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U66291638 | Other | CIGNA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Associates, LLC | Past | Accepting new patients | |
| Optum Behavioral Care of Virginia, Inc. | 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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1558506857
-
- Psychologist
- Oklahoma City, OK
- NPI 1134992548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1518449610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 NW 31ST TER",
"city": "BETHANY",
"state": "OK",
"postal_code": "730084012",
"telephone_number": "405-474-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9212 N KELLEY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731312419",
"telephone_number": "405-242-5070"
}
],
"practiceLocations": [
{
"address_1": "6612 NW 31st Ter",
"address_purpose": "LOCATION",
"city": "Bethany",
"state": "OK",
"postal_code": "730084012",
"country_code": "US",
"telephone_number": "405-474-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMLAND",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U66291638",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.