Organization Active NPI

Specialty Care Pediatrics, Inc.

  • Home Health Agency
  • Edmond, OK
National Provider Identifier
1477034395
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECIALTY CARE PEDIATRICS, INC.
Practice address
2256 NW 164TH Street
Edmond, OK 73013
Phone
(405) 276-8076
Fax
(405) 276-8077
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Jami ReedNPI 1851897474
Title
Owner/Ceo
Phone
(405) 276-8076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2256 NW 164TH Street
Edmond, OK 73013

Mailing address

2256 NW 164TH Street
Edmond, OK 73013
Phone (405) 276-8076

Other identifiers 1

IdentifierTypeStateIssuer
HC8089OtherOKSTATE

National Provider Directory

National Provider Directory

Locations

2256 NW 164th St
Edmond, OK 73013
Phone (405) 276-8076

14324 N Western Ave
Edmond, OK 73013
Phone (405) 936-9433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1477034395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NW 164TH STREET",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-276-8076",
            "fax_number": "405-276-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NW 164TH STREET",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-276-8076",
            "fax_number": "405-276-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "405-276-8076"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "HC8089",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.