Individual provider Active NPI

Keith A. Gladden, B.H.R.S.

  • Rehabilitation Counselor
  • Lawton, OK
National Provider Identifier
1730403031
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
N/A Issued in NU
Practice address
1719 SW 11TH St
Lawton, OK 73501-7305
Phone
(580) 581-1818
Fax
(580) 581-1819
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X N/A NU Primary
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X NU

Addresses

Primary practice location

1719 SW 11TH St
Lawton, OK 73501-7305

Mailing address

PO Box 662
Purcell, OK 73080-0662
Phone (405) 527-1785

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1730403031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730800662",
            "telephone_number": "405-527-1785",
            "fax_number": "405-527-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 SW 11TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735017305",
            "telephone_number": "580-581-1818",
            "fax_number": "580-581-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "KEITH",
        "middle_name": "A.",
        "credential": "B.H.R.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": "N/A",
            "primary": true
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.