Jovan Pride, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5279 Issued in OK

Practice address

5701 SE 74TH St Ste G
Oklahoma City, OK 73135-1104

Phone

(405) 610-1909

Fax

(405) 610-1910

NPI assigned

Nov 2, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1003384546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 BRISTOL PARK BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131894",
            "telephone_number": "405-840-1686",
            "fax_number": "405-840-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SE 74TH ST STE G",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351104",
            "telephone_number": "405-610-1909",
            "fax_number": "405-610-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14915 Bristol Park Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131890",
            "country_code": "US",
            "telephone_number": "405-840-1686",
            "fax_number": "405-840-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14715 Bristol Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131894",
            "country_code": "US",
            "telephone_number": "405-840-1686",
            "fax_number": "405-840-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "JOVAN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200802530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Price
• Whitney M Price, PAC
• Whitney Miann Price
• Priceless Professional Counseling and Solutions
• Bonnie Darlene Priddy
• Angela Lynn Priest Whipple, DDS
• Kenneth D Priest, MD
• Tera Lynn Priest
• Grace Marie Prieto
• Kristen Nicole Prieto

• Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.