Jeran Price
Individual provider Active NPI Counselor · Watts, OK
NPI 1538532007 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1538532007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 202 Main St
Watts, OK 74964 - Phone
- (918) 422-4888
- NPI assigned
- Nov 5, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
202 Main St
Watts, OK 74964
Mailing address
RR 5 Box 727
Stilwell, OK 74960-9204
Phone (918) 575-2013
NPI Registry JSON
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1538532007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 5 BOX 727",
"city": "STILWELL",
"state": "OK",
"postal_code": "749609204",
"telephone_number": "918-575-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 MAIN ST",
"city": "WATTS",
"state": "OK",
"postal_code": "74964",
"telephone_number": "918-422-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JERAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watts, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.