Active NPI
Darrell Frost
- Case Manager/Care Coordinator
- Stillwater, OK
National Provider Identifier
1184744591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- NONE
- Practice address
- 800 E 6TH Ave
Stillwater, OK 74074-3732 - Phone
- (405) 372-1250
- Fax
- (405) 377-5215
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- 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 | NONE | OK | Primary |
Addresses
Primary practice location
800 E 6TH Ave
Stillwater, OK 74074-3732
Mailing address
812 N Duck St
Stillwater, OK 74075-3516
Phone (405) 762-0716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184744591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 N DUCK ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740753516",
"telephone_number": "405-762-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740743732",
"telephone_number": "405-372-1250",
"fax_number": "405-377-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "DARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.