Active NPI
Rayvon M Swindall Sr.
- Case Manager/Care Coordinator
- Del City, OK
National Provider Identifier
1649556887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4638 SE 29TH St
Del City, OK 73115-3429 - Phone
- (405) 595-9579
- Fax
- (405) 528-4674
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4638 SE 29TH St
Del City, OK 73115-3429
Mailing address
5017 Cinderella Dr
Oklahoma City, OK 73129-8929
Phone (405) 401-0978
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": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1649556887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 CINDERELLA DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731298929",
"telephone_number": "405-401-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4638 SE 29TH ST",
"city": "DEL CITY",
"state": "OK",
"postal_code": "731153429",
"telephone_number": "405-595-9579",
"fax_number": "405-528-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINDALL",
"first_name": "RAYVON",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"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 Del City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.