Active NPI
Justin Winfrey
- Health Educator
- Oklahoma City, OK
National Provider Identifier
1093099541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 174H00000X
- Practice address
- 11212 N May Ave Ste 208
Oklahoma City, OK 73120-6335 - Phone
- (405) 205-8950
- NPI assigned
- Oct 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 174H00000X | OK | Primary |
Addresses
Primary practice location
11212 N May Ave Ste 208
Oklahoma City, OK 73120-6335
Mailing address
4525 Prue Sand
Yukon, OK 73099-3144
Phone (405) 354-3759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174H00000X | OK | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1093099541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 PRUE SAND",
"city": "YUKON",
"state": "OK",
"postal_code": "730993144",
"telephone_number": "405-354-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 N MAY AVE STE 208",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731206335",
"telephone_number": "405-205-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINFREY",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OK",
"license": "174H00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.