Active NPI
Roy Wynn Sims, BS, BHRS
- Case Manager/Care Coordinator
- Boley, OK
National Provider Identifier
1215008826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- #9865
- Practice address
- SE of Boley on Hwy 62
Boley, OK 74829 - Phone
- (918) 667-3633
- Fax
- (918) 667-3651
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 9, 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 | #9865 | OK | Primary |
Addresses
Primary practice location
SE of Boley on Hwy 62
Boley, OK 74829
Mailing address
PO Box 576
Seminole, OK 74818-0576
Phone (405) 382-5946
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #9865 | OK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boley, OK
- NPI 1649360025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215008826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748180576",
"telephone_number": "405-382-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SE OF BOLEY ON HWY 62",
"city": "BOLEY",
"state": "OK",
"postal_code": "74829",
"telephone_number": "918-667-3633",
"fax_number": "918-667-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "ROY",
"middle_name": "WYNN",
"credential": "BS, BHRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "#9865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boley, OK
- Shannon Faye Robertson, BSW, BHRS
- Brenda Kaye Rudrow, RN
- Kathy Satawake
- Melissa J Schoaps, RN
- Sonya Sheets
- Smith & Smith Comprehensive Health Care Corp.
- Dennis Philemon Smith
- Spears Management Company Inc (Firm Foundation/Firm Foundation Enhanced Residential Care Home)
- Spears Management Company Inc (Boley Residential Care Home 1)
- Spears Management Company Inc (Boley Residential Care Home 2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.