Individual provider Active NPI

Jordan Harlin

  • Case Management Agency
  • Tulsa, OK
National Provider Identifier
1679256168
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447
Phone
(918) 949-4212
Fax
(918) 949-4299
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447

Mailing address

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447
Phone (918) 949-4212

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1679256168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066447",
            "telephone_number": "918-949-4212",
            "fax_number": "918-949-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066447",
            "telephone_number": "918-949-4212",
            "fax_number": "918-949-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.