Tatum Lynn Hamilton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

971 E Wichita Ave
Russell, KS 67665-2444

Phone

(785) 657-7464

NPI assigned

Oct 3, 2020

Last updated

Oct 3, 2020By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Behavior Solutions, LLC

  dba Heartland ABA

  • Behavior Analyst
  • Russell, KS
  • NPI 1336785922
  NPD

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1881291862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652444",
            "telephone_number": "785-657-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652444",
            "telephone_number": "785-657-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TATUM",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K03743917",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiana Ann Grandclair
• Kylie Elizabeth Green
• Michele Louise Guiol
• Gary William Hainke I
• Haven Marlene Hamilton
• Kaelyn Heller, RBT
• Lataya Heroneme
• Hannah Ruth Herres
• Brendin Higgins
• Homestead of Russell Operations, LLC (Homestead of Russell)

• Behavior Technician in Russell, KS
• Providers in Russell, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.