The Specialty Care Clinic

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

Legal business name

THE SPECIALTY CARE CLINIC

Practice address

4127 NW 122ND St Ste E
Oklahoma City, OK 73120-8880

Phone

(405) 276-8076

Fax

(405) 276-8077

NPI assigned

Apr 12, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jami ReedNPI 1851897474

Title

Ceo

Phone

(405) 276-8076

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jami Michelle Reed

  • Home Health Agency
  • Edmond, OK
  • NPI 1851897474
  Authorized official Same address or phone

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1518547702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 NW 122ND ST STE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208880",
            "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": "4127 NW 122ND ST STE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208880",
            "telephone_number": "405-276-8076",
            "fax_number": "405-276-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECIALTY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-276-8076"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255358891",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.