Individual provider Active NPI

Mellisia Jones

  • Case Manager/Care Coordinator
  • Del City, OK
National Provider Identifier
1649736554
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4725 S Bryant Ave
Del City, OK 73135-1011
Phone
(405) 670-1001
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

4725 S Bryant Ave
Del City, OK 73135-1011

Mailing address

4725 S Bryant Ave
Oklahoma City, OK 73135-1011
Phone (318) 243-0172

Other practice location 1

6718 N Mlk Ave
Oklahoma City, OK 73111-7943
Phone (405) 478-0504

Other practice location 2

4725 S Bryant Ave
Oklahoma City, OK 73135-1011
Phone (405) 670-1001

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

Practice roles

OrganizationSpecialtyStatusNew patients
Give to Give Youth Services Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1649736554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 S BRYANT AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351011",
            "telephone_number": "318-243-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 S BRYANT AVE",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731351011",
            "telephone_number": "405-670-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6718 N Mlk Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731117943",
            "country_code": "US",
            "telephone_number": "405-478-0504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4725 S Bryant Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731351011",
            "country_code": "US",
            "telephone_number": "405-670-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELLISIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "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 Feb 15, 2019; 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.