Individual provider Active NPI

Andrea Cook

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1932751971
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-18-52843 Issued in OK
Practice address
4908 S Sheridan Rd
Tulsa, OK 74145-5712
Phone
(918) 984-9153
NPI assigned
Jul 10, 2019
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 RBT-18-52843 MS
Behavior Analyst 103K00000X RBT-18-52843 OK Primary

Addresses

Primary practice location

4908 S Sheridan Rd
Tulsa, OK 74145-5712

Mailing address

4908 S Sheridan Rd
Tulsa, OK 74145-5712
Phone (918) 984-9153

Other practice location 1

9480 Three Rivers Rd
Gulfport, MS 39503-4248
Phone (228) 313-3106

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

LicenseStateTypeSpecialty
RBT-18-52843OKMDBehavioral Analyst
RBT-18-52843MSMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum of Hope, LLC Behavior Analyst PastSince Mar 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1932751971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455712",
            "telephone_number": "918-984-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455712",
            "telephone_number": "918-984-9153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9480 Three Rivers Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395034248",
            "country_code": "US",
            "telephone_number": "228-313-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": "RBT-18-52843",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "RBT-18-52843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.