Redefine U

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REDEFINE U

Practice address

2511 S Muskogee Ave
Tahlequah, OK 74464-5459

Phone

(918) 431-0634

Fax

(908) 431-0654

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kimberley L Cook, MHR/LADC # 624

Title

Co-Owner/Director

Phone

(918) 431-0634

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberley Lee Cook-Vaughn, LADC #624

  • Counselor
  • Tahlequah, OK
  • NPI 1699092809
  NPD (past)
• Jackie Holland

  • Social Worker
  • Muskogee, OK
  • NPI 1508183526
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1033443296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645459",
            "telephone_number": "918-431-0634",
            "fax_number": "908-431-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645459",
            "telephone_number": "918-431-0634",
            "fax_number": "908-431-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINE U",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "918-431-0634",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHR/LADC # 624"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ratterree
• Sejal Maria Rawls
• Charles Edward Ray Jr., P.T.A.
• Clint Raymer, PT, DPT
• Jeff Anthony Reddick
• Christi Reed
• Elise B Reed, DC
• Shirley D Reed, BHRS
• Carl Owen Reese
• Jordyn Danielle Reese, ATC

• Community/Behavioral Health Agency in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.