Individual provider Active NPI

Vanessa Lydia Meuniot, D.O.

  • Family Medicine Physician
  • McAlester, OK
National Provider Identifier
1861651580
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10927 Issued in CA
Practice address
4 E Clark Bass Blvd Ste 301B
McAlester, OK 74501-4284
Phone
(918) 421-6795
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10927 CA Primary

Addresses

Primary practice location

4 E Clark Bass Blvd Ste 301B
McAlester, OK 74501-4284

Mailing address

4 E Clark Bass Blvd Ste 301B
McAlester, OK 74501-4284
Phone (918) 421-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100205000564 CA Practitioner - Family Practice 4082757596 Reassigns benefits to 1 organization
I20190911002036 OK Practitioner - Family Practice 4082757596 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Valley Health Clinic, Inc. Family Medicine CurrentSince Oct 27, 2015 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Oct 3, 2022 Accepting new patients

Locations

8501 West Rd
Redwood Vly, CA 95470
Phone (707) 485-6900

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1861651580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD STE 301B",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014284",
            "telephone_number": "918-421-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD STE 301B",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014284",
            "telephone_number": "918-421-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUNIOT",
        "first_name": "VANESSA",
        "middle_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.