Jason Floyd

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

804 S Broadway St
Poteau, OK 74953-3834

Phone

(918) 647-9629

NPI assigned

Apr 25, 2012

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Center for Psychological Development, Inc.

  • Mental Health Counselor
  • Durant, OK
  • NPI 1831409440
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1316205552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104106 STATE HIGHWAY 64B",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "749487315",
            "telephone_number": "918-315-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533834",
            "telephone_number": "918-647-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitnie Evans, MED LPC US
• Martha Anne Evnas, BA
• Taylor Farley
• Amy Cathleen Ferguson, MOT, OTR/L
• Charles Fields
• Mallary Flurry
• Fort Smith Regional Dialysis Center, LLC (Poteau Dialysis Center)
• Rhonda Sue Fox
• Michele Fredrickson
• Cecilia G Freeman, BSW

• Case Manager/Care Coordinator in Poteau, OK
• Providers in Poteau, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.