Braxton M Lamunyon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

502 N 14TH St
Perry, OK 73077-5022

Phone

(918) 308-5512

Fax

(580) 215-5767

NPI assigned

Mar 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1851976005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 14TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775022",
            "telephone_number": "918-308-5512",
            "fax_number": "580-215-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 14TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775022",
            "telephone_number": "918-308-5512",
            "fax_number": "580-215-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMUNYON",
        "first_name": "BRAXTON",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lee Knecht, D.O.
• Jamie Knecht
• Coleen Rae Krieger, PA-C
• Amy Kukuk
• Jan Lanell Kukuk, LPN
• Vanessa Lay
• Andi Michelle Leitner
• Robyn Dawn Mangum, PA-C
• Jarryd Mathews, PHARMD
• Aubrey Marie McCaul

• All providers in Perry, OK
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.