Active NPI
Alexandria Jennings
- Case Manager/Care Coordinator
- Okmulgee, OK
National Provider Identifier
1093693335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- P084143024
- Practice address
- 114 N Grand Ave Ste 414
Okmulgee, OK 74447-4032 - Phone
- (918) 758-5449
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | P084143024 | OK | Primary |
Addresses
Primary practice location
114 N Grand Ave Ste 414
Okmulgee, OK 74447-4032
Mailing address
114 N Grand Ave Ste 414
Okmulgee, OK 74447-4032
Phone (918) 758-5449
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 |
|---|---|---|---|
| P084143024 | OK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1093693335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N GRAND AVE STE 414",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744474032",
"telephone_number": "918-758-5449",
"fax_number": "918-758-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N GRAND AVE STE 414",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744474032",
"telephone_number": "918-758-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "P084143024",
"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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.