Individual provider Active NPI

Ivora Palestine Sensibaugh

  • Social Worker
  • McAlester, OK
National Provider Identifier
1730474073
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
100 South Main
Suite Number B
McAlester, OK 74501-5370
Phone
(918) 423-3700
Fax
(918) 423-3712
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

100 South Main
Suite Number B
McAlester, OK 74501-5370

Mailing address

100 South Main
Suite Number B
McAlester, OK 74501-5370
Phone (918) 423-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Oklahoma Family Services, Inc Current Accepting new patients
Community Pathways Unlimited Inc CurrentSince Jan 13, 2015 Accepting new patients
Southeastern Oklahoma Family Services, Inc. CurrentSince May 15, 2019 Accepting new patients

Locations

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1730474073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN",
            "address_2": "SUITE NUMBER B",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015370",
            "telephone_number": "918-423-3700",
            "fax_number": "918-423-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN",
            "address_2": "SUITE NUMBER B",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015370",
            "telephone_number": "918-423-3700",
            "fax_number": "918-423-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENSIBAUGH",
        "first_name": "IVORA",
        "middle_name": "PALESTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.