Jonathon Collin Carter, BS, CM2
Individual provider Active NPI Case Manager/Care Coordinator · Watts, OK
NPI 1164740593 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1164740593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 202 S. Main St.
Watts, OK 74964-0332 - Phone
- (918) 422-4888
- Fax
- (918) 422-5779
- NPI assigned
- May 10, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
202 S. Main St.
Watts, OK 74964-0332
Mailing address
PO Box 332
Watts, OK 74964-0332
Phone (918) 422-4888
Other providers in Watts, OK
All providers in Watts, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.