Myelia Gerald

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

101YA0400X Issued in OK

Practice address

3621 N Kelley Ave
Suit 100
Oklahoma City, OK 73111-4520

Phone

(405) 524-5525

Fax

(405) 524-5528

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1750783577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE",
            "address_2": "278",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346066",
            "telephone_number": "405-343-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "SUIT 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-524-5525",
            "fax_number": "405-524-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALD",
        "first_name": "MYELIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan George, ARNP
• Georgia M Slentz LCSW
• Melissa Sue Geraci, RN
• Debra Gerads, LMT
• Gerald Lewis Dickman, D.O., PLLC
• Brianna Faye Geraldon
• Georgie Gerbine
• Joey L Gerhardt, CRNA
• Tara Adams Gerhardt, CRNA
• Geriatric Medical Services Inc.

• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.