Epiphany Birth Services, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

EPIPHANY BIRTH SERVICES, LLC

Practice address

1745 NW 16TH St Ste a
Oklahoma City, OK 73106-2078

Phone

(405) 473-5745

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Farah Marilyn Antoine-Mayberry, OT, CLC, DOULANPI 1932579877

Title

Owner

Phone

(405) 473-5745

Specialties & licenses 1

Addresses

Other names 1

• Epiphany Lactation and Development, LLC Former legal business name

Practitioners 1

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

• Farah Marilyn Antoine-Mayberry, OTR/L

  • Occupational Therapist
  • Oklahoma City, OK
  • NPI 1932579877
  NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1699242537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 NW 91ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321108",
            "telephone_number": "405-473-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 NW 16TH ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731062078",
            "telephone_number": "405-473-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY BIRTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ANTOINE-MAYBERRY",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-473-5745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT, CLC, DOULA"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epiphany Lactation and Development, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cari Dyne Epperson, LCSW
• Kevin Q Epperson, M.D.
• Lindsey Claire Epperson
• Shar'Nell Durelle Epperson

• Pediatric Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.