Active NPI
Jane M Harmon DNP,RN,Pmhnp-BC,PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Broken Bow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R0105058
- Legal business name
- JANE M HARMON DNP,RN,PMHNP-BC,PLLC
- Practice address
- 305 Dogwood CT
Broken Bow, OK 74728-6118 - Phone
- (580) 236-9886
- NPI assigned
- Feb 19, 2016
- Last updated
- Feb 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane M Harmon, APRN-CNP
- Title
- Owner
- Phone
- (580) 236-9886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R0105058 | OK | Primary |
Addresses
Primary practice location
305 Dogwood CT
Broken Bow, OK 74728-6118
Mailing address
108 S Central Ave Ste 2
Idabel, OK 74745-4848
Phone (580) 236-9886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200434630 A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
108 S Central Ave
Idabel, OK 74745
Phone (580) 208-2395
108 S Central Ave
Ste 2
Idabel, OK 74745
Phone (580) 236-9886
1301 E Lincoln Rd
#M
Idabel, OK 74745
Phone (580) 236-9886
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Idabel, OK
- NPI 1013020643
-
- Psychiatric/Mental Health Nurse Practitioner
- Idabel, OK
- NPI 1902278260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455840000000",
"number": "1649639550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S CENTRAL AVE STE 2",
"city": "IDABEL",
"state": "OK",
"postal_code": "747454848",
"telephone_number": "580-236-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 DOGWOOD CT",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747286118",
"telephone_number": "580-236-9886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE M HARMON DNP,RN,PMHNP-BC,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-236-9886",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "R0105058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200434630 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Bow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.