Individual provider Active NPI

Jeri K. Singleton, M.D.

  • Pediatrics Physician
  • McLoud, OK
National Provider Identifier
1720172463
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29000 Issued in OK
Practice address
105365 S. Hwy 102
McLoud, OK 74851
Phone
(405) 964-2081
Fax
(405) 964-2053
NPI assigned
Oct 3, 2006
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 29000 OK Primary

Addresses

Primary practice location

105365 S. Hwy 102
McLoud, OK 74851

Mailing address

PO Box 1360
McLoud, OK 74851-1360
Phone (405) 964-2081

Other identifiers 1

IdentifierTypeStateIssuer
200131200AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140403001903 OK Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3678571387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29000OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kickapoo Tribal Health Center Past Accepting new patients
Kickapoo Tribal Health Center Past Accepting new patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1720172463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748511360",
            "telephone_number": "405-964-2081",
            "fax_number": "405-964-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105365 S. HWY 102",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "74851",
            "telephone_number": "405-964-2081",
            "fax_number": "405-964-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "JERI",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLoud, OK

Sources for this page

Verify at the official NPI Registry.