Organization Active NPI

Tollefsen LLC

  • Case Management Agency
  • Tulsa, OK
National Provider Identifier
1568703197
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TOLLEFSEN LLC
Practice address
636 East 3Rd Street
Tulsa, OK 74120-1044
Phone
(918) 743-3676
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Anita B Mershon
Title
Director of Community Services
Phone
(918) 743-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

636 East 3Rd Street
Tulsa, OK 74120-1044

Mailing address

636 East 3Rd Street
Tulsa, OK 74120-1044

National Provider Directory

National Provider Directory

Locations

636 E 3rd St
Tulsa, OK 74120
Phone (918) 743-3676

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1568703197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 EAST 3RD STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741201044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 EAST 3RD STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741201044",
            "telephone_number": "918-743-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLLEFSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MERSHON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "918-743-3676"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Mar 6, 2013; 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.