Active NPI
Travis Payton
- Behavior Technician
- Edmond, OK
National Provider Identifier
1750166872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 14401 N Lincoln Blvd Ste 109
Edmond, OK 73013-3405 - Phone
- (281) 691-7726
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
14401 N Lincoln Blvd Ste 109
Edmond, OK 73013-3405
Mailing address
4262 E Washington CT
Gilbert, AZ 85234-7791
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konkrete Rose Youth and Family Services LLC | Current | Accepting new patients | |
| Rise Above Healthcare LLC | Current | Accepting new patients |
Locations
14401 N Lincoln Blvd
Ste 109
Edmond, OK 73013
Phone (281) 691-7726
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Edmond, OK
- NPI 1700660370
-
- Community/Behavioral Health Agency
- Gilbert, AZ
- NPI 1225743099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1750166872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4262 E WASHINGTON CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852347791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14401 N LINCOLN BLVD STE 109",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133405",
"telephone_number": "281-691-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYTON",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.