Organization Active NPI

Roberts Medial Management, LLC

  • Case Management Agency
  • Okmulgee, OK
National Provider Identifier
1023532934
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0073480 Issued in OK
Legal business name
ROBERTS MEDIAL MANAGEMENT, LLC
Practice address
1629 E 6TH St
Okmulgee, OK 74447-4805
Phone
(918) 752-7533
NPI assigned
Aug 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Colleen Day, RN
Title
Owner
Phone
(918) 752-7533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0073480 OK Primary

Addresses

Primary practice location

1629 E 6TH St
Okmulgee, OK 74447-4805

Mailing address

1629 E 6TH St
Okmulgee, OK 74447-4805
Phone (918) 752-7533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023532934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 E 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474805",
            "telephone_number": "918-752-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 E 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474805",
            "telephone_number": "918-752-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS MEDIAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-752-7533",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "0073480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.