NPIMap

Organization Active NPI

Jerome Holmes

  • Case Management Agency
  • Tulsa, OK
National Provider Identifier
1154727014
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JEROME HOLMES
Practice address
3855 Riverside Dr
Tulsa, OK 74105-3045
Phone
(918) 743-4768
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Mr. Jerome Holmes IIINPI 1932505807
Title
Case Manager
Phone
(918) 743-4768

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3855 Riverside Dr
Tulsa, OK 74105-3045

Mailing address

3855 Riverside Dr
Tulsa, OK 74105-3045
Phone (918) 743-4768

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1154727014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 RIVERSIDE DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053045",
            "telephone_number": "918-743-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 RIVERSIDE DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053045",
            "telephone_number": "918-743-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME HOLMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "918-743-4768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Nov 5, 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.