John Wambugu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1609 Greenbriar PL
Oklahoma City, OK 73159-7640

Phone

(405) 735-3683

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1386376333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 GREENBRIAR PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597640",
            "telephone_number": "405-735-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 GREENBRIAR PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597640",
            "telephone_number": "405-735-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBUGU",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Walton, RN, IBCLC
• Michelle Jarvis Walton, D.C.
• Sydney A Walton
• John Michael Waltz, MSW
• Kelly J Walworth, PAC
• Alexander Wand
• Chantal Z Wandick, BHR
• Jessica Wang, PHARMD
• Kevin Wang
• Lin-Kai Wang

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jun 28, 2022; 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.