Individual provider Active NPI

Joyce B Jumbo

  • Registered Nurse
  • Tulsa, OK
National Provider Identifier
1386882009
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R0074646 Issued in OK
Practice address
3105 E Skelly Dr
Suite 205
Tulsa, OK 74105-6358
Phone
(918) 949-4555
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0074646 OK Primary
Home Health Registered Nurse 163WH0200X R0074646 OK

Addresses

Primary practice location

3105 E Skelly Dr
Suite 205
Tulsa, OK 74105-6358

Mailing address

3105 E Skelly Dr
Suite 205
Tulsa, OK 74105-6358

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
R0074646OKMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bonny Crest Home Healthcare, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1386882009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "address_2": "SUITE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-949-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMBO",
        "first_name": "JOYCE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0074646",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "R0074646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.