Active NPI
Chassidy L Boyland
- Case Manager/Care Coordinator
- Midwest City, OK
National Provider Identifier
1760948764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 7901 NE 10TH St Ste A106
Midwest City, OK 73110-3600 - Phone
- (405) 731-9012
- Fax
- (888) 875-1829
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
7901 NE 10TH St Ste A106
Midwest City, OK 73110-3600
Mailing address
9809 Harmony Dr
Midwest City, OK 73130-6501
Phone (405) 313-6011
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": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1760948764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 HARMONY DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731306501",
"telephone_number": "405-313-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 NE 10TH ST STE A106",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103600",
"telephone_number": "405-731-9012",
"fax_number": "888-875-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLAND",
"first_name": "CHASSIDY",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2019-02-14",
"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 Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.