Individual Contractor

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDIVIDUAL CONTRACTOR

Practice address

4711 SE 77TH St
Oklahoma City, OK 73135-4544

Phone

(405) 921-3430

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Crystal L Walls

Title

Behavior Rehabilitation Specialist

Phone

(405) 921-3430

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal L Morgan-Walls

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1194093898
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1689967531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 SE 77TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731354544",
            "telephone_number": "405-921-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SE 77TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731354544",
            "telephone_number": "405-921-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL CONTRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BEHAVIOR REHABILITATION SPECIALIST",
        "authorized_official_telephone_number": "405-921-3430"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Good Hands Childcare Center
• Katrina Marie Inchaurregui
• Independence Care of Oklahoma at Tulsa LLC
• Independence Medical Equipment, LLC
• Indira Singh MD, Inc (Oklahoma Pediatrics Center)
• Infant Parent Intervention Center
• Infant Parent Intervention Center
• Infectious Disease Associates LLC
• Martha Inga
• Amanda Ann Ingalls

• Case Management Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.