Active NPI
Octa Emerald Sheridan, RN
- Case Management Registered Nurse
- Claremore, OK
National Provider Identifier
1356813463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 58796
- Practice address
- 101 S Moore Ave
Claremore, OK 74017-5091 - Phone
- (402) 981-2574
- Fax
- (918) 342-6471
- NPI assigned
- Dec 31, 2018
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 58796 | NE | Primary |
Addresses
Primary practice location
101 S Moore Ave
Claremore, OK 74017-5091
Mailing address
101 S Moore Ave
Claremore, OK 74017-5091
Phone (402) 981-2574
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58796 | NE | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1356813463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MOORE AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175091",
"telephone_number": "402-981-2574",
"fax_number": "918-342-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MOORE AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175091",
"telephone_number": "402-981-2574",
"fax_number": "918-342-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "OCTA",
"middle_name": "EMERALD",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NE",
"license": "58796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.