Active NPI
Tracy Staten
- Behavior Analyst
- Tulsa, OK
National Provider Identifier
1962784330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7049 Frankoma Rd
#6, Admin BLDG
Tulsa, OK 74131-2018 - Phone
- (918) 960-7852
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 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 | NU | Primary |
Addresses
Primary practice location
7049 Frankoma Rd
#6, Admin BLDG
Tulsa, OK 74131-2018
Mailing address
8415 E 81St St
Tulsa, OK 74133-8030
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 |
|---|---|---|---|
| Improving Lives Counseling Services, Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1487967444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1962784330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 E 81ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741338030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7049 FRANKOMA RD",
"address_2": "#6, ADMIN BLDG",
"city": "TULSA",
"state": "OK",
"postal_code": "741312018",
"telephone_number": "918-960-7852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATEN",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
- State of Oklahoma - Osu Center for Health Science College of Osteopath (OSU Physicians - Behavioral Medicine)
- State of Oklahoma - Osu Center for Health Sciences College of Osteopat (OSU Country Club Garden Pediatrics)
- State of Oklahoma - Osu Center for Health Sciences College of Osteopat (OSU Country Garden Family Medicine)
- State of Oklahoma Osu Center for Health Sciences (OSU Physicians Addiction Medicine)
- State of Oklahoma Osu Center for Health Sciences College of Osteopathi
- Tracy Lynn Staten, B.S.
- Tammy Gail States, LPC
- Alan Dwayne Statum, OTA
- Bridgette Marie Staub, DO
- Leslie S Staubus, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.