Individual provider Active NPI

Joey Marie Nunnelee

  • Case Manager/Care Coordinator
  • Central Point, OR
National Provider Identifier
1447086335
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4439 Hamrick Rd
Central Point, OR 97502-2816
Phone
(541) 727-7669
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OR Primary

Addresses

Primary practice location

4439 Hamrick Rd
Central Point, OR 97502-2816

Mailing address

3126 State St Ste 100
Medford, OR 97504-8665
Phone (458) 225-9358

Other practice location 1

248 Mace Rd
Medford, OR 97501-1280
Phone (541) 500-1202

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

OrganizationSpecialtyStatusNew patients
Elderly and Disabled Services CurrentSince Sep 15, 2024 Accepting new patients
Elderly and Disabled Services CurrentSince Sep 15, 2024 Accepting new patients
Elderly and Disabled Services PastSince Sep 13, 2020 Accepting new patients

Locations

248 Mace Rd
Medford, OR 97501
Phone (458) 225-9358

3126 State St
Ste 100
Medford, OR 97504
Phone (458) 225-9358

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1447086335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STATE ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048665",
            "telephone_number": "458-225-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 HAMRICK RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022816",
            "telephone_number": "541-727-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Mace Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975011280",
            "country_code": "US",
            "telephone_number": "541-500-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNNELEE",
        "first_name": "JOEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.