Rudolph L Dedmon II

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

436 Court St Ste B
Muskogee, OK 74401-6303

Phone

(918) 310-0000

Fax

(918) 913-7365

NPI assigned

Sep 21, 2022

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

Practice roles

Locations

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.

• Hope Blooms LLC

  • Mental Health Counselor
  • Muskogee, OK
  • NPI 1912665092
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1457074817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 COURT ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016303",
            "telephone_number": "918-310-0000",
            "fax_number": "918-913-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 COURT ST STE B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016303",
            "telephone_number": "918-310-0000",
            "fax_number": "918-913-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDMON",
        "first_name": "RUDOLPH",
        "middle_name": "L",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hopebloomscounseling.org",
            "affiliation": "N",
            "endpointDescription": "Hopeblooscounseling.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "436 Court St Ste B",
            "city": "Muskogee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744016303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooklyn Dawn Davison
• Donna Marie De Simone, APRN NP-C
• Brandi Debruin, MS-CCC-SLP
• Kelli Jo Deckard
• Gentry Thomas Decker, DO
• Breanna Catherine Dejaynes
• Emma Jade Delarosa
• Katherine Delmedico
• Kimberly Dawn Delong, RN
• Harold L Demoss, M.D.

• Case Manager/Care Coordinator in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.