Active NPI
Zion Atira Meleesa Stidham
- Case Manager/Care Coordinator
- Perry, OK
National Provider Identifier
1750087789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 502 N 14TH St
Perry, OK 73077-5022 - Phone
- (844) 458-2100
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
502 N 14TH St
Perry, OK 73077-5022
Mailing address
502 N 14TH St
Perry, OK 73077-5022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2023.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1750087789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N 14TH ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N 14TH ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775022",
"telephone_number": "844-458-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIDHAM",
"first_name": "ZION",
"middle_name": "ATIRA MELEESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perry, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.