NPIMap

Organization Active NPI

Children, Adolescent and Family

  • Family Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1134420722
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHILDREN, ADOLESCENT AND FAMILY
Practice address
201 S 5TH St
McAlester, OK 74501-5411
Phone
(918) 916-2636
Fax
(918) 426-5439
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Levenia Carey, LPCNPI 1073751392
Title
Clinical Operations Director
Phone
(918) 429-8184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

201 S 5TH St
McAlester, OK 74501-5411

Mailing address

1019 Kinkead Rd
McAlester, OK 74501-7704
Phone (918) 429-8184

Other identifiers 1

IdentifierTypeStateIssuer
200266780CMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Children Adolescent and Family2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 S 5th St
McAlester, OK 74501
Phone (918) 916-2636

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1134420722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 KINKEAD RD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017704",
            "telephone_number": "918-429-8184",
            "fax_number": "918-426-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 5TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015411",
            "telephone_number": "918-916-2636",
            "fax_number": "918-426-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN, ADOLESCENT AND FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "LEVENIA",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "918-429-8184",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266780C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.