Organization Active NPI

Peters Agency Transition Services LLC

  • Case Management Agency
  • Sallisaw, OK
National Provider Identifier
1629308341
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100685560AMedicaidOK

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.

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.

Verify at the official NPI Registry.