NPIMap

Organization Active NPI

Talking Leaves Job Corps

  • Family Medicine Physician
  • Tahlequah, OK
National Provider Identifier
1770937229
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14708 Issued in OK
Legal business name
TALKING LEAVES JOB CORPS
Practice address
5700 Bald Hill Road
Tahlequah, OK 74465-1066
Phone
(918) 456-9959
Fax
(918) 207-3499
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mr. Jay Littlejohn
Title
Center Director
Phone
(918) 207-3301

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 197 OK
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4359 OK
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 14708 OK Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 74414 OK

Addresses

Primary practice location

5700 Bald Hill Road
Tahlequah, OK 74465-1066

Mailing address

PO Box 1066
5700 Bald Hill Road
Tahlequah, OK 74465-1066
Phone (918) 456-9959

National Provider Directory

National Provider Directory
Tax ID family
Talking Leaves Job Corps21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

22717 S Bald Hill Rd
Tahlequah, OK 74464
Phone (918) 456-9959

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1770937229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "address_2": "5700 BALD HILL ROAD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651066",
            "telephone_number": "918-456-9959",
            "fax_number": "918-207-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BALD HILL ROAD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651066",
            "telephone_number": "918-456-9959",
            "fax_number": "918-207-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALKING LEAVES JOB CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "918-207-3301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "197",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4359",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14708",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "74414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.