Active NPI
Randi Denise Skender I
- Clinical Social Worker
- Ada, OK
National Provider Identifier
1821235730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3927
- Practice address
- 1921 Stonecipher Blvd.
Chickasaw Nation Medical Center
Ada, OK 74820 - Phone
- (580) 436-3980
- Fax
- (580) 421-6283
- NPI assigned
- Jan 14, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 3927 | OK | Primary |
Addresses
Primary practice location
1921 Stonecipher Blvd.
Chickasaw Nation Medical Center
Ada, OK 74820
Mailing address
210 E. Main St.
Resource Management
Ada, OK 74820
Phone (580) 436-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHS000 | Other | OTHER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3927 | OK | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1821235730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E. MAIN ST.",
"address_2": "RESOURCE MANAGEMENT",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-7211",
"fax_number": "580-272-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER BLVD.",
"address_2": "CHICKASAW NATION MEDICAL CENTER",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-3980",
"fax_number": "580-421-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKENDER",
"first_name": "RANDI",
"middle_name": "DENISE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "PHS000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.