Active NPI
Brandi Michelle King
- Case Manager/Care Coordinator
- Muskogee, OK
National Provider Identifier
1154930857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4009 Eufaula Ave
Muskogee, OK 74403-1132 - Phone
- (918) 682-2841
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4009 Eufaula Ave
Muskogee, OK 74403-1132
Mailing address
4009 Eufaula Ave
Muskogee, OK 74403-1132
Phone (918) 682-2841
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MCCOYS | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskogee County Council of Youth Services | Past | Accepting new patients | |
| Muskogee County Council of Youth Service | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Muskogee, OK
- NPI 1215173133
-
- Community/Behavioral Health Agency
- Muskogee, OK
- NPI 1639251457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1154930857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 EUFAULA AVE",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031132",
"telephone_number": "918-682-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 EUFAULA AVE",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031132",
"telephone_number": "918-682-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BRANDI",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MCCOYS",
"affiliation": "N",
"endpointDescription": "Work",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4009 Eufaula Ave",
"city": "Muskogee",
"state": "OK",
"country_code": "US",
"postal_code": "744031132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.