Shertaurus Warmack

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58094 Issued in MO

Practice address

12317 E 18TH St
Tulsa, OK 74128-6602

Phone

(573) 462-6792

NPI assigned

Feb 19, 2022

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 and National Provider Directory roles.

• Forever Learning ABA, LLC

  • Behavior Analyst
  • Tulsa, OK
  • NPI 1396431144
  NPD Authorized official

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1992450753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12317 E 18TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741286602",
            "telephone_number": "573-462-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12317 E 18TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741286602",
            "telephone_number": "573-462-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMACK",
        "first_name": "SHERTAURUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "1-22-58094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-22-58094",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Warlick, M.D.
• Ian Warlick
• Jayme Nicole Warlick
• Matthew Warlick, DDS
• Sherry Diane Warlick, CNM
• Emma Louise Warner, MSW LCSW
• Karen Warner, RN
• Kayla Day Warner, APRN
• Laura Warning
• Julia K Warnock, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.