Jason Prince, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

R0090407 Issued in OK

Practice address

6904 Saint Marys PL
Oklahoma City, OK 73132-6821

Phone

(405) 652-5885

NPI assigned

Nov 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Revive Infusion

  • Home Infusion Agency
  • Oklahoma City, OK
  • NPI 1205509619
  NPD

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1447915293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 SAINT MARYS PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 SAINT MARYS PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326821",
            "telephone_number": "405-652-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JASON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OK",
            "license": "R0090407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "6904 Saint Marys Pl",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731326821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Prime RX Pharmacy LLC
• Prince Chiropractic Wellness Center, PLLC
• Brian Carnell Prince
• Brian Craig Prince, DDS
• Dena Prince
• Joel M Prince, M.D.
• Jordyn Sydney Prince, DO
• Kimberly Ann Prince, PRSS
• Kimberly Jean Prince
• Marva Jean Prince, MS,

• Infusion Therapy Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Infusion Therapy Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.