Zondra Magness

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

RT.1 Box 35D
Boley, OK 74829

Phone

(918) 667-3367

Fax

(918) 667-3651

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jawaun Michael Lewis DO PC

  • Neurology Physician
  • Norman, OK
  • NPI 1356501019
  NPD (past)
• Stepping Stones, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boley, OK
  • NPI 1508865841
  NPD (past)
• Stepping Stones, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boley, OK
  • NPI 1649360025
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1245689934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "BOLEY",
            "state": "OK",
            "postal_code": "748290218",
            "telephone_number": "918-667-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT.1 BOX 35D",
            "city": "BOLEY",
            "state": "OK",
            "postal_code": "74829",
            "telephone_number": "918-667-3367",
            "fax_number": "918-667-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNESS",
        "first_name": "ZONDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100685600D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006856600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella L Jordan
• Thomas Mark Keltner
• Marilyn Elizabeth Kincade, LPC, NCC
• Jonathan Paul Looney
• Donna Danelle Magness, MS, LPC CANDIDATE
• Angela Diane Miller Mack
• Brian David Moore, BA, BHRS
• Lisa Moore
• Tami Morgan, MS, PSRS
• Lavada Stacy Myers, BS

• All providers in Boley, OK
• Contractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.