Jackie Lynn Carpenter

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2215 NW Cache Rd
Suite 107
Lawton, OK 73505-5239

Phone

(580) 351-9998

Fax

(580) 351-9898

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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.

• Open Arms Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1962699983
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1558893354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 NW CHEYENNE AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053244",
            "telephone_number": "580-301-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NW CACHE RD",
            "address_2": "SUITE 107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055239",
            "telephone_number": "580-351-9998",
            "fax_number": "580-351-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariail Carnahan, MS., CF-SLP
• Ida Sue Carney, DPH
• Liberty Diann Carney, RBT
• Cathy Sue Carns, ARNP
• Eric B Carpenter Sr., MS, BHRS
• Janay Carpenter
• Jesse Carr
• Melvin Carr Jr.
• Noemi Carreras
• Michael Carrillo

• Behavior Analyst in Lawton, OK
• Providers in Lawton, OK by specialty
• Behavior Analyst in Oklahoma

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

Verify at the official NPI Registry.