Individual provider Active NPI

Ellorey Shel Gaines

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1649803495
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
8227 N Rockwell Ave Apt 1409
Oklahoma City, OK 73132-4261
Phone
(405) 816-1788
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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

8227 N Rockwell Ave Apt 1409
Oklahoma City, OK 73132-4261

Mailing address

8227 N Rockwell Ave Apt 1409
Oklahoma City, OK 73132-4261
Phone (405) 816-1788

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL egaines1@uco.edu Direct

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1649803495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 N ROCKWELL AVE APT 1409",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324261",
            "telephone_number": "405-816-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 N ROCKWELL AVE APT 1409",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324261",
            "telephone_number": "405-816-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ELLOREY",
        "middle_name": "SHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "egaines1@uco.edu",
            "affiliation": "N",
            "endpointDescription": "egaines1@uco.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8227 N Rockwell Ave Apt 1409",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731324261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 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.