Active NPI
Fred Latimer
- Counselor
- Owasso, OK
National Provider Identifier
1831468594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6829 E 85TH St N
Owasso, OK 74055-6964 - Phone
- (918) 261-5504
- NPI assigned
- Dec 23, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6829 E 85TH St N
Owasso, OK 74055-6964
Mailing address
6829 E 85TH St N
Owasso, OK 74055-6964
Phone (918) 261-5504
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": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1831468594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6829 E 85TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556964",
"telephone_number": "918-261-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6829 E 85TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556964",
"telephone_number": "918-261-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "FRED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.