Individual provider Active NPI

Brenee Taylor

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1629601836
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9212 N Kelley Ave
Oklahoma City, OK 73131-2419
Phone
(405) 821-8742
NPI assigned
Feb 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

9212 N Kelley Ave
Oklahoma City, OK 73131-2419

Mailing address

721 SW 153Rd St
Oklahoma City, OK 73170-7537
Phone (405) 821-8742

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": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1629601836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SW 153RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707537",
            "telephone_number": "405-821-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 N KELLEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312419",
            "telephone_number": "405-821-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "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 Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.