Active NPI
Courtney Lynn Reeder, CPT
- Community Health Worker
- Oklahoma City, OK
National Provider Identifier
1760003305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5208 W Reno Ave
Oklahoma City, OK 73127-6344 - Phone
- (405) 948-4900
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
5208 W Reno Ave
Oklahoma City, OK 73127-6344
Mailing address
9900 W Highway 66 Apt 1407
Yukon, OK 73099-0018
Phone (405) 229-7617
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1760003305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 W HIGHWAY 66 APT 1407",
"city": "YUKON",
"state": "OK",
"postal_code": "730990018",
"telephone_number": "405-229-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5208 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276344",
"telephone_number": "405-948-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "5208 W Reno Ave",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731276344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.