Kennedy Thompson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

307 4TH Ave SE
Ardmore, OK 73401-8216

Phone

(580) 300-3010

NPI assigned

Aug 12, 2021

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

Other names 1

• Miss Kennedy Shuell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1619642485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 REDS RD",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734487285",
            "telephone_number": "580-319-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 4TH AVE SE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734018216",
            "telephone_number": "580-300-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Commercial Blvd N",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760017119",
            "country_code": "US",
            "telephone_number": "817-557-8040 x81755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KENNEDY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "SHUELL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy E Thompson, PT
• Carl Allen Thompson, D.O.
• Claire Constance Thompson, LPC
• Debra Jean Thompson, B.H.R.S
• Itasca Thompson
• Olivia Thompson
• Rachel Thompson
• Tiffany Thompson
• Jessica Renee Thurston, APRN-CNP
• Susie Tidwell

• Behavior Technician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.