Individual provider Active NPI

Judith Ann Harwell

  • Case Management Registered Nurse
  • Chickasha, OK
National Provider Identifier
1659871861
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
58296 Issued in OK
Practice address
804 W Choctaw Ave
Chickasha, OK 73018-2310
Phone
(405) 222-0622
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 58296 OK Primary

Addresses

Primary practice location

804 W Choctaw Ave
Chickasha, OK 73018-2310

Mailing address

8 Cottonwood Dr
Chickasha, OK 73018-2114
Phone (405) 779-0796

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

State licenses

LicenseStateTypeSpecialty
58296OKMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1659871861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COTTONWOOD DR",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182114",
            "telephone_number": "405-779-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310",
            "telephone_number": "405-222-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWELL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OK",
            "license": "58296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.