Active NPI
Miranda Carman
- Clinical Social Worker
- Okmulgee, OK
National Provider Identifier
1427283142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 100 W 7TH St Ste 102
Okmulgee, OK 74447-5007 - Phone
- (918) 758-1910
- Fax
- (918) 756-1270
- NPI assigned
- May 26, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
100 W 7TH St Ste 102
Okmulgee, OK 74447-5007
Mailing address
125 N Sherman Ave
Okmulgee, OK 74447-2816
Phone (918) 758-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300522336 | Other | OK | OKMULGEE MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Health Systems | 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.
-
- Clinic/Center
- Okmulgee, OK
- NPI 1588672208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1427283142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N SHERMAN AVE",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744472816",
"telephone_number": "918-758-1910",
"fax_number": "918-756-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 7TH ST STE 102",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744475007",
"telephone_number": "918-758-1910",
"fax_number": "918-756-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMAN",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKMULGEE MEDICARE",
"identifier": "300522336",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.