Active NPI
Landon Holman
- Case Manager/Care Coordinator
- Muskogee, OK
National Provider Identifier
1104248285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 619 N Main St
Muskogee, OK 74401-4431 - Phone
- (918) 913-3635
- NPI assigned
- Jan 9, 2014
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
619 N Main St
Muskogee, OK 74401-4431
Mailing address
343 S 23Rd St
Muskogee, OK 74401-5214
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1104248285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S 23RD ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014431",
"telephone_number": "918-913-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "LANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-09",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.