Sara Nicole George

Key facts

NPI

1417596404

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

5113 SE 15TH St Ste a
Del City, OK 73115-3952

Phone

(405) 600-3252

Fax

(405) 601-8180

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2019.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1417596404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 SE 15TH ST STE A",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153952",
            "telephone_number": "405-600-3252",
            "fax_number": "405-601-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 SE 15TH ST STE A",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153952",
            "telephone_number": "405-600-3252",
            "fax_number": "405-601-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.okliferecovery.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "5113 SE 15th St Ste A",
            "city": "Del City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731153952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Del City, OK · Case Manager/Care Coordinator in Oklahoma