Individual provider Active NPI

Andrea Downing

  • Assistant Behavior Analyst
  • Vinita, OK
National Provider Identifier
1720797293
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-24-15524 Issued in OK
Practice address
116 S Wilson St
Vinita, OK 74301-3730
Phone
(918) 542-4101
Fax
(918) 256-1430
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Assistant Behavior Analyst 106E00000X 0-24-15524 OK Primary

Addresses

Primary practice location

116 S Wilson St
Vinita, OK 74301-3730

Mailing address

2225 N Main St
Miami, OK 74354-1620
Phone (918) 542-4101

Other practice location 1

41247 Highway 29
Wynnewood, OK 73098-9116
Phone (580) 670-3117

Other practice location 2

2225 N Main St
Miami, OK 74354-1620
Phone (918) 542-4101 ext. 2

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Orthopedic and Rehabilitation LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

2225 N Main St
Miami, OK 74354
Phone (918) 542-4101

116 S Wilson St
Vinita, OK 74301
Phone (918) 256-6459

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1720797293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541620",
            "telephone_number": "918-542-4101",
            "fax_number": "918-542-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743013730",
            "telephone_number": "918-542-4101",
            "fax_number": "918-256-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41247 Highway 29",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "OK",
            "postal_code": "730989116",
            "country_code": "US",
            "telephone_number": "580-670-3117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 N Main St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743541620",
            "country_code": "US",
            "telephone_number": "918-542-4101 x2",
            "fax_number": "918-542-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OK",
            "license": "0-24-15524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.