Kimberly R Blakley

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

2600 Van Buren St Ste 2334
Norman, OK 73072-5640

Phone

(405) 360-2133

NPI assigned

Jul 22, 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

• Kimberly R Bly 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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1720651185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST STE 2634",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725610",
            "telephone_number": "405-360-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST STE 2334",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725640",
            "telephone_number": "405-360-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BLY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clinton Larry Blake, D.D.S.
• Donisha Blakely
• Kailee Blakeway
• Darrell L Blakley
• Kimberly C Blakley, SLP-INTERN
• Surman Bland, BCBA
• Cara Anne Blankenship Taylor, M.S., CFY-SLP
• Kayla Blankenship
• Erin Darby Blass, CRNA
• Alicia Blaylock, PT, DPT

• Assistant Behavior Analyst in Norman, OK
• Providers in Norman, OK by specialty
• Assistant Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.