Cory Jeans, REVEREND

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1219 W Dupont St
Claremore, OK 74017-5318

Phone

(918) 341-9400

NPI assigned

Aug 29, 2023

Sex

Male

Sole proprietor

Yes

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

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.

• Safenet Services, Inc.

  • Voluntary or Charitable Agency
  • Claremore, OK
  • NPI 1447655980
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1396520177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N MILLER DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176622",
            "telephone_number": "918-833-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 W DUPONT ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175318",
            "telephone_number": "918-341-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANS",
        "first_name": "CORY",
        "credential": "REVEREND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K James, COTA/L
• Kim Denise James, LPC
• Kori Nicole Jameson
• Kayla Jano
• Pamela Ann Jarrett, DO
• Jeffrey K McIlroy MD Inc
• Donald Jackson Jenkins, RN
• Charles Ray Jennings, P.A.
• Megan Jennings
• Merrit Corwin Jensen, CRNA

• Case Manager/Care Coordinator in Claremore, OK
• Providers in Claremore, 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 Aug 29, 2023; 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.