Zachary Hunter Roll

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

503 W Avenue D
Heavener, OK 74937-2803

Phone

(918) 839-4915

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Male

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1104382753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749370412",
            "telephone_number": "918-839-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W AVENUE D",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372803",
            "telephone_number": "918-839-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLL",
        "first_name": "ZACHARY",
        "middle_name": "HUNTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Presley, BHRS
• Heather Raines
• Connie M Ray, LPC
• Jodi Ray
• Patricia J Redhage, ARNP
• Maribel Roy, LPC
• Ramona L. Rust, RN
• Melinda Faye Scantling, A.R.N.P.
• Heather Michelle Sconyers
• Angela M Shupert, RN

• Case Manager/Care Coordinator in Heavener, OK
• Providers in Heavener, 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 Feb 19, 2019; 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.