Shelby Rudd-Munchinski

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33202 Issued in CO

Practice address

309 SW 59TH St Ste 305
Oklahoma City, OK 73109-8324

Phone

(405) 355-3239

NPI assigned

Oct 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bilingual Pediatric Therapies

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1336444884

  Behavior Analyst

  NPD (past)
• Walker Square Therapy LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1982106837
  NPD (past)
• Walnut Behavioral Therapy LLC

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1831917467
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1821491796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SW 59TH ST STE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098324",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 State St Ste G750",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97301",
            "country_code": "US",
            "telephone_number": "971-273-7502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 State St Ste G750",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97301",
            "country_code": "US",
            "telephone_number": "971-273-7502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731398510",
            "country_code": "US",
            "telephone_number": "855-782-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD-MUNCHINSKI",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-33202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julisia Ryann Ruckel
• Brayden McKay Rucker, DO
• Lashydrea Rucker
• Madeleine Rucker, AU.D.
• Sidra E Rucker
• Mack Timothy Rudd, D.D.S.
• Kleopatra Ruddock, AA
• Michelle Rudesill, CRC
• Constance Ann Rudkin, APRN CNP
• Lisa Rudolph, CNS

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.