Active NPI
Jo Lieta Wynette Bright, D.C.
- Chiropractor
- Pryor, OK
National Provider Identifier
1124107131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2579
- Practice address
- 2 S Coo Y Yah St
St 4
Pryor, OK 74361-4636 - Phone
- (918) 825-2525
- Fax
- (918) 825-2615
- NPI assigned
- Nov 2, 2006
- Last updated
- Aug 30, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2579 | OK | Primary |
Addresses
Primary practice location
2 S Coo Y Yah St
St 4
Pryor, OK 74361-4636
Mailing address
2 S Coo Y Yah St
St 4
Pryor, OK 74361-4636
Phone (918) 825-2525
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 |
|---|---|---|---|
| 2574 | OK | MD | Speech-Language Pathologist |
| 2579 | OK | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1124107131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S COO Y YAH ST",
"address_2": "ST 4",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614636",
"telephone_number": "918-825-2525",
"fax_number": "918-825-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S COO Y YAH ST",
"address_2": "ST 4",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614636",
"telephone_number": "918-825-2525",
"fax_number": "918-825-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "JO LIETA",
"middle_name": "WYNETTE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.