Active NPI
Deborah Jean Wedel, LPN
- Case Manager/Care Coordinator
- Ponca City, OK
National Provider Identifier
1447554472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- L 0029696
- Practice address
- 201 E Chestnut Ave
Ponca City, OK 74601-4311 - Phone
- (580) 763-0931
- NPI assigned
- Jan 5, 2011
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | L 0029696 | OK | Primary |
Addresses
Primary practice location
201 E Chestnut Ave
Ponca City, OK 74601-4311
Mailing address
423 E Lincoln Ave
Blackwell, OK 74631-3335
Phone (580) 363-0857
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
| License | State | Type | Specialty |
|---|---|---|---|
| L 0029696 | OK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwin Fair Community Mental Health Center | 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.
-
- Case Management Agency
- Ponca City, OK
- NPI 1831218296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1447554472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 E LINCOLN AVE",
"city": "BLACKWELL",
"state": "OK",
"postal_code": "746313335",
"telephone_number": "580-363-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E CHESTNUT AVE",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746014311",
"telephone_number": "580-763-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDEL",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "L 0029696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.