Individual provider Active NPI

Jenny Jones

  • Behavior Technician
  • Ada, OK
National Provider Identifier
1639877251
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319
Phone
(580) 279-0668
Fax
(405) 857-8489
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OK Primary

Addresses

Primary practice location

1300 Hoppe Blvd Ste 3
Ada, OK 74820-2319

Mailing address

1775 S Greathouse Dr
Atoka, OK 74525-3434
Phone (580) 889-6611

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atoka Other

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1639877251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 S GREATHOUSE DR",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253434",
            "telephone_number": "580-889-6611",
            "fax_number": "580-324-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOPPE BLVD STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202319",
            "telephone_number": "580-279-0668",
            "fax_number": "405-857-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atoka",
            "affiliation": "N",
            "endpointDescription": "1680 S Greathouse Dr",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Atoka",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atoka",
            "address_1": "1680 S Greathouse Drive",
            "city": "Atoka",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745257452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.