Active NPI
Peters Agency Transition Services LLC
- Case Management Agency
- Sallisaw, OK
National Provider Identifier
1629308341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PETERS AGENCY TRANSITION SERVICES LLC
- Practice address
- 926 E Cherokee Ave
Sallisaw, OK 74955-5045 - Phone
- (918) 775-6555
- Fax
- (918) 775-6587
- NPI assigned
- Dec 31, 2009
- Organization subpart
- Yes
- Parent organization
- PETERS AGENCY CARE MANAGEMENT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Trudy A Peters, RN CCM CPUR
- Title
- Executive Director, Ceo
- Phone
- (918) 775-6555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
926 E Cherokee Ave
Sallisaw, OK 74955-5045
Mailing address
926 E Cherokee Ave
Sallisaw, OK 74955-5045
Phone (918) 775-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100685560A | Medicaid | OK |
National Provider Directory
National Provider Directory- Part of
- Peters Agency Care Management LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Sallisaw, OK
- NPI 1578691010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262217600000",
"number": "1629308341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 E CHEROKEE AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749555045",
"telephone_number": "918-775-6555",
"fax_number": "918-775-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E CHEROKEE AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749555045",
"telephone_number": "918-775-6555",
"fax_number": "918-775-6587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETERS AGENCY TRANSITION SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PETERS AGENCY CARE MANAGEMENT LLC",
"enumeration_date": "2009-12-31",
"last_updated": "2009-12-31",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "TRUDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, CEO",
"authorized_official_telephone_number": "918-775-6555",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN CCM CPUR"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685560A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.