Active NPI
Jerry Moffatt
- Social Worker
- Tulsa, OK
National Provider Identifier
1497156343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000000000
- Practice address
- 815 S Quaker Ave
Tulsa, OK 74120-4619 - Phone
- (918) 350-4449
- NPI assigned
- Sep 10, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000000000 | OK | Primary |
Addresses
Primary practice location
815 S Quaker Ave
Tulsa, OK 74120-4619
Mailing address
815 S Quaker Ave
Tulsa, OK 74120-4619
Phone (918) 350-4449
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 |
|---|---|---|---|
| 0000000000 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1497156343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S QUAKER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204619",
"telephone_number": "918-350-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S QUAKER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204619",
"telephone_number": "918-350-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFATT",
"first_name": "JERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "0000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.