Active NPI
Janet Mary Fletcher, PA C
- Physician Assistant
- Grove, OK
National Provider Identifier
1295791283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1738
- Practice address
- 900 E 13TH St
Suite 101
Grove, OK 74344-2976 - Phone
- (918) 786-9900
- Fax
- (918) 786-9904
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1738 | OK | Primary |
Addresses
Primary practice location
900 E 13TH St
Suite 101
Grove, OK 74344-2976
Mailing address
5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (918) 786-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200505990H | Medicaid | OK | |
| 200195710A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1738 | OK | MD | Mental Health Counselor |
Interoperability endpoints
- jfletcher11730@direct.integrisok.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1295791283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "918-786-9900",
"fax_number": "918-786-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E 13TH ST",
"address_2": "SUITE 101",
"city": "GROVE",
"state": "OK",
"postal_code": "743442976",
"telephone_number": "918-786-9900",
"fax_number": "918-786-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JANET",
"middle_name": "MARY",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200505990H",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200195710A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.