Organization Active NPI

Jayne Rozell Aprn-CNP PLLC

  • Family Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1124469028
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88982 Issued in OK
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

Updated by the provider on Jan 7, 2014

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200501190AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.