Active NPI
Palliative Connections of Oklahoma Inc
- Case Manager/Care Coordinator
- Owasso, OK
National Provider Identifier
1154677706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- PALLIATIVE CONNECTIONS OF OKLAHOMA INC
- Practice address
- 8291 N Owasso Expy
Owasso, OK 74055-3634 - Phone
- (918) 894-3487
- Fax
- (918) 712-9880
- NPI assigned
- Aug 1, 2012
- 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
- Roger A. Bruhn
- Title
- Director
- Phone
- (918) 894-3487
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Case Management Registered Nurse | 163WC0400X | |||
| General Practice Registered Nurse | 163WG0000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
8291 N Owasso Expy
Owasso, OK 74055-3634
Mailing address
3220 S Peoria Ave
Suite 101
Tulsa, OK 74105-2003
Phone (918) 894-3487
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1154677706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 S PEORIA AVE",
"address_2": "SUITE 101",
"city": "TULSA",
"state": "OK",
"postal_code": "741052003",
"telephone_number": "918-894-3487",
"fax_number": "918-712-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 N OWASSO EXPY",
"city": "OWASSO",
"state": "OK",
"postal_code": "740553634",
"telephone_number": "918-894-3487",
"fax_number": "918-712-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALLIATIVE CONNECTIONS OF OKLAHOMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "BRUHN",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "918-894-3487"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.