Active NPI
Jennifer A Myrick
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1851690176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1003K00000X
- Practice address
- 2601 SW 81St St
Oklahoma City, OK 73159-4733 - Phone
- (495) 819-1661
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- 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 Analyst | 103K00000X | 1003K00000X | OK | Primary |
Addresses
Primary practice location
2601 SW 81St St
Oklahoma City, OK 73159-4733
Mailing address
2601 SW 81St St
Pox 673 Guthrie, Ok 73044
Oklahoma City, OK 73159-4733
Phone (405) 819-1661
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003K00000X | OK | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1851690176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 SW 81ST ST",
"address_2": "POX 673 GUTHRIE, OK 73044",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731594733",
"telephone_number": "405-819-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SW 81ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731594733",
"telephone_number": "495-819-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1003K00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.