Active NPI
Eagle Ridge
- Community/Behavioral Health Agency
- Oklahoma City, OK
National Provider Identifier
1699047092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L
- Legal business name
- EAGLE RIDGE
- Practice address
- 601 NE 63Rd St
Oklahoma City, OK 73105-6407 - Phone
- (405) 840-1359
- NPI assigned
- Jan 31, 2012
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jamie James
- Title
- BHRS
- Phone
- (405) 473-1231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | L | OK | Primary |
Addresses
Primary practice location
601 NE 63Rd St
Oklahoma City, OK 73105-6407
Mailing address
7709 NW 113TH PL
Oklahoma City, OK 73162-2542
Phone (405) 473-1231
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1699047092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 NW 113TH PL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731622542",
"telephone_number": "405-473-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NE 63RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731056407",
"telephone_number": "405-840-1359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE RIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "BHRS",
"authorized_official_telephone_number": "405-473-1231",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.