Sarah Jayne Greenman

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

906 SW 14TH St
Wagoner, OK 74467-7756

Phone

(918) 577-1339

NPI assigned

Oct 26, 2021

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

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1801550819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SW 14TH ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677756",
            "telephone_number": "918-577-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SW 14TH ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677756",
            "telephone_number": "918-577-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 W Keetoowah St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643820",
            "country_code": "US",
            "telephone_number": "918-201-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Casaver Ave",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674438",
            "country_code": "US",
            "telephone_number": "019-201-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENMAN",
        "first_name": "SARAH",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134704489",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.