Active NPI
Joanne Chinnici, DO
- Family Medicine Physician
- Ada, OK
National Provider Identifier
1174500946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2513
- Practice address
- 2513 Timber Ter
Ada, OK 74820-7256 - Phone
- (580) 399-7716
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2513 | OK | Primary |
Addresses
Primary practice location
2513 Timber Ter
Ada, OK 74820-7256
Mailing address
2513 Timber Ter
Ada, OK 74820-7256
Phone (580) 399-7716
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2513 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1174500946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 TIMBER TER",
"city": "ADA",
"state": "OK",
"postal_code": "748207256",
"telephone_number": "580-399-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 TIMBER TER",
"city": "ADA",
"state": "OK",
"postal_code": "748207256",
"telephone_number": "580-399-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNICI",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
- Chickasaw Nation Division of Health Chickasaw Nation Medical Center
- Chickasaw Nation Division of Health Chickasaw Nation Medical Center
- Chickasaw Nation Division of Health Chickasaw Nation Medical Center
- Chickasaw Nation Division of Health Chickasaw Nation Medical Center
- Chickasaw Nation Medical Center Beh. Health
- Andrea N Chouinard, PHARMD
- Brianna Leigh Choyce, APRN-CNP
- Christian Counseling Plus Inc
- April Deanne Christie, BHCM II
- Mellisa Marie Christy-Aronson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.