Active NPI
Retha Rene Henry, NONE
- Private Vehicle
- Pauls Valley, OK
National Provider Identifier
1841414869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 129 Chestnut St
Pauls Valley, OK 73075-1608 - Phone
- (405) 238-3411
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | OK | Primary |
Addresses
Primary practice location
129 Chestnut St
Pauls Valley, OK 73075-1608
Mailing address
129 Chestnut St
Pauls Valley, OK 73075-1608
Phone (405) 238-3411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051919510 | OK | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841414869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CHESTNUT ST",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730751608",
"telephone_number": "405-238-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 CHESTNUT ST",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730751608",
"telephone_number": "405-238-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RETHA",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "NONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.