Elizabeth Chevon Jefferson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

Phone

(918) 687-7064

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Chevon Jefferson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1457969875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ARLINE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015539",
            "telephone_number": "405-697-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356002",
            "telephone_number": "918-687-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "ELIZABETH",
        "middle_name": "CHEVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JEFFERSON",
            "middle_name": "CHEVON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeff Alexander, MD, PC
• Jeff K Parker, DDS PC
• Aszurdee Sade Jeff
• Lisa Dianne Jeffcoat
• Connor Jeffers
• Faith Ilesha Jefferson
• Nancy A. Jefferson, N.P.
• Jeffrey M. Calava D.O., Inc
• Jeffrey R. Morris, D.O., P.C.
• Jeffrey S Halsell DO PLLC

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, 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 Jul 22, 2020; 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.