Individual provider Active NPI

Dawn Pamela Panell

  • Adult Psychiatric/Mental Health Registered Nurse
  • Muskogee, OK
National Provider Identifier
1295291599
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R0078424 Issued in OK
Practice address
619 N Main St
Muskogee, OK 74401-4431
Phone
(918) 687-1039
Fax
(918) 683-9484
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R0078424 OK Primary

Addresses

Primary practice location

619 N Main St
Muskogee, OK 74401-4431

Mailing address

619 N Main St
Muskogee, OK 74401-4431
Phone (918) 687-1039

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

LicenseStateTypeSpecialty
R0078424OKMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1295291599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-687-1039",
            "fax_number": "918-683-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-687-1039",
            "fax_number": "918-683-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANELL",
        "first_name": "DAWN",
        "middle_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "R0078424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.