Jamie L Everett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3159 Issued in OK

Practice address

4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-1684

Phone

(405) 842-4911

NPI assigned

May 14, 2007

Last updated

Jan 3, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renal Treatment Centers West Inc

  dba Stillwater Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stillwater, OK
  • NPI 1336101559
  NPD (past)
• Renal Treatment Centers West Inc

  dba Elk City Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elk City, OK
  • NPI 1831151182
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1508071218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 2ND ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444427",
            "telephone_number": "580-225-2700",
            "fax_number": "580-225-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 NW 64TH ST",
            "address_2": "SUITE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161684",
            "telephone_number": "405-842-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "JAMIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henrietta Ngozi Evbuomwan, MSC, LPC
• Henry Osayamen Evbuomwan, LPC
• Everest Pharmacy LLC (New Hope Pharmacy)
• Everest Rehabilitation Hospital Okc, LLC (Mercy Rehabilitation Hospital Oklahoma City South)
• Hannah J Everett
• Leisha V Everett, DDS
• Michael William Everett
• Royice Bert Everett, M.D.
• Evergreen Ok Companion Support
• Evergreen Ok Daily Living Support

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.