Organization Active NPI

Jane M Harmon DNP,RN,Pmhnp-BC,PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broken Bow, OK
National Provider Identifier
1649639550
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R0105058 Issued in OK
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jane M Harmon, APRN-CNPNPI 1013020643
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200434630 AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.