Organization Active NPI

Missy Riddles LLC

  • Community/Behavioral Health Agency
  • Yukon, OK
National Provider Identifier
1740758002
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MISSY RIDDLES LLC
Practice address
11219 W Reno Ave
Yukon, OK 73099-7569
Phone
(405) 265-8866
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Missy RiddlesNPI 1649598459
Title
Owner
Phone
(405) 265-8866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11219 W Reno Ave
Yukon, OK 73099-7569

Mailing address

11219 W Reno Ave
Yukon, OK 73099-7569
Phone (405) 265-8866

National Provider Directory

National Provider Directory

Locations

11219 W Reno Ave
Yukon, OK 73099
Phone (405) 265-8866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1740758002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 W RENO AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997569",
            "telephone_number": "405-265-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 W RENO AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997569",
            "telephone_number": "405-265-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSY RIDDLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "RIDDLES",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-265-8866"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.