Individual provider Active NPI

Marietta Winkle

  • Case Manager/Care Coordinator
  • Checotah, OK
National Provider Identifier
1174997357
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
RR 4 Box 1214
Checotah, OK 74426-9010
Phone
(918) 781-2463
Fax
(918) 207-0588
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

RR 4 Box 1214
Checotah, OK 74426-9010

Mailing address

RR 4 Box 1214
Checotah, OK 74426-9010
Phone (918) 781-2463

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

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1174997357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 1214",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744269010",
            "telephone_number": "918-781-2463",
            "fax_number": "918-207-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 1214",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744269010",
            "telephone_number": "918-781-2463",
            "fax_number": "918-207-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLE",
        "first_name": "MARIETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Checotah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.