Faith Ilesha Jefferson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

228 S 101St East Ave
Tulsa, OK 74128-1232

Phone

(918) 779-8983

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

Yes

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1093399800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281232",
            "telephone_number": "918-779-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281232",
            "telephone_number": "918-779-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "FAITH",
        "middle_name": "ILESHA",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff K Parker, DDS PC
• Aszurdee Sade Jeff
• Lisa Dianne Jeffcoat
• Connor Jeffers
• Elizabeth Chevon Jefferson
• Nancy A. Jefferson, N.P.
• Jeffrey M. Calava D.O., Inc
• Jeffrey R. Morris, D.O., P.C.
• Jeffrey S Halsell DO PLLC
• Stephen Marcellus Jeffrey II

• Peer Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.