Raven Destiny Greenwood

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

321 E Court St
Atoka, OK 74525-2047

Phone

(580) 889-5555

NPI assigned

Sep 23, 2020

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

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1043826100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W CEDAR CIR UNIT 31",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745257812",
            "telephone_number": "580-378-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "RAVEN",
        "middle_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Golden
• Cody Gonzalez
• Kassandra Goodale
• Shelly Goodwin
• Linda Delcinia Graham
• Lucky Sue Griffin
• Carla Aneta Grimsley, BA
• Shalonna Grissom
• Gunter Healthcare LLC (Hometown Hospice of Atoka)
• Norman Michael Guthrie, LMSW

• Case Manager/Care Coordinator in Atoka, OK
• Providers in Atoka, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.