Individual provider Active NPI

Montana Nanney

  • Case Manager/Care Coordinator
  • Tulsa, OK
National Provider Identifier
1568970580
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
632 S Quincy Ave Apt 1
Tulsa, OK 74120-4635
Phone
(918) 639-2461
Fax
(918) 639-2461
NPI assigned
Jan 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

632 S Quincy Ave Apt 1
Tulsa, OK 74120-4635

Mailing address

632 S Quincy Ave Apt 1
Tulsa, OK 74120-4635
Phone (918) 639-2461

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

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1568970580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 S QUINCY AVE APT 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204635",
            "telephone_number": "918-639-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 S QUINCY AVE APT 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204635",
            "telephone_number": "918-639-2461",
            "fax_number": "918-639-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNEY",
        "first_name": "MONTANA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "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 Jan 11, 2018; 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.