Active NPI
Rebecca Kathryn Tallent
- Peer Specialist
- Oklahoma City, OK
National Provider Identifier
1548788540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PENDING
- Practice address
- 3000 United Founders Blvd Ste 104
Oklahoma City, OK 73112-3927 - Phone
- (405) 254-3994
- Fax
- (405) 254-5019
- NPI assigned
- Aug 30, 2017
- Last updated
- Aug 30, 2017
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | PENDING | OK | Primary |
Addresses
Primary practice location
3000 United Founders Blvd Ste 104
Oklahoma City, OK 73112-3927
Mailing address
3000 United Founders Blvd Ste 104
Oklahoma City, OK 73112-3927
Phone (405) 254-3994
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
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | OK | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1548788540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 104",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123927",
"telephone_number": "405-254-3994",
"fax_number": "405-254-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 104",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123927",
"telephone_number": "405-254-3994",
"fax_number": "405-254-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLENT",
"first_name": "REBECCA",
"middle_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"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 Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.