Jasmine Danielle Ratzlaff, CARE COORDINATOR

Individual provider Active NPI Case Manager/Care Coordinator · Barnsdall, OK

NPI 1679090948 · NPPES record last updated Feb 15, 2018

Key facts

NPI
1679090948
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
401 W Main Street
Barnsdall, OK 74002-0000
Phone
(918) 847-3527
Fax
(918) 777-9018
NPI assigned
Aug 27, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

401 W Main Street
Barnsdall, OK 74002-0000

Mailing address

401 W Main Street
Barnsdall, OK 74002-0000
Phone (918) 847-3527

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 15, 2018.

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1679090948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN STREET",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020000",
            "telephone_number": "918-847-3527",
            "fax_number": "918-777-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN STREET",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020000",
            "telephone_number": "918-847-3527",
            "fax_number": "918-777-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "JASMINE",
        "middle_name": "DANIELLE",
        "credential": "CARE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2018-02-15",
        "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 Barnsdall, OK

All providers in Barnsdall, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.