NPIMap

Organization Active NPI

Donna Vandall, Inc.

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1124291513
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4543 Issued in OK
Legal business name
DONNA VANDALL, INC.
Practice address
3223 E 31St St Ste 201
Tulsa, OK 74105-2444
Phone
(918) 749-6935
Fax
(918) 749-7611
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Donna Kay Rumfeldt
Title
Owner
Phone
(918) 749-6935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4543 OK Primary

Addresses

Primary practice location

3223 E 31St St Ste 201
Tulsa, OK 74105-2444

Mailing address

3223 E 31St St Ste 201
Tulsa, OK 74105-2444
Phone (918) 749-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000003 OK Part B Supplier - Clinic/Group Practice 0648208694 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

3223 E 31st St
Ste 201
Tulsa, OK 74105
Phone (918) 749-6935

4612 S Harvard Ave
Ste B
Tulsa, OK 74135
Phone (918) 704-7402

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1124291513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052444",
            "telephone_number": "918-749-6935",
            "fax_number": "918-749-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052444",
            "telephone_number": "918-749-6935",
            "fax_number": "918-749-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA VANDALL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "RUMFELDT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-6935",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.