Active NPI
Jayne Rozell Aprn-CNP PLLC
- Family Nurse Practitioner
- Elk City, OK
National Provider Identifier
1124469028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 88982
- Legal business name
- JAYNE ROZELL APRN-CNP PLLC
- Practice address
- 1710 W 3Rd St
Suite 101
Elk City, OK 73644-5159 - Phone
- (580) 225-8600
- NPI assigned
- Jul 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayne Ann Rozell
- Title
- Aprn-CNP,Owner
- Phone
- (580) 821-4071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 88982 | OK | Primary |
Addresses
Primary practice location
1710 W 3Rd St
Suite 101
Elk City, OK 73644-5159
Mailing address
20272 E 1280 Rd
Carter, OK 73627-2725
Phone (580) 393-2386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200501190A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1124469028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20272 E 1280 RD",
"city": "CARTER",
"state": "OK",
"postal_code": "736272725",
"telephone_number": "580-393-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W 3RD ST",
"address_2": "SUITE 101",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445159",
"telephone_number": "580-225-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYNE ROZELL APRN-CNP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-09",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "ROZELL",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "APRN-CNP,OWNER",
"authorized_official_telephone_number": "580-821-4071"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "88982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200501190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.