Active NPI
Derrick Hightower
- Case Management Agency
- Oklahoma City, OK
National Provider Identifier
1881905834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 103K00000X
- Practice address
- 2525 NW Expressway
Suite 624a
Oklahoma City, OK 73112-7227 - Phone
- (405) 242-5070
- Fax
- (405) 242-5071
- NPI assigned
- Jun 24, 2010
- 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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 103K00000X | OK | Primary |
Addresses
Primary practice location
2525 NW Expressway
Suite 624a
Oklahoma City, OK 73112-7227
Mailing address
1309 NW 106TH St
Oklahoma City, OK 73114-5209
Phone (405) 476-2688
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 |
|---|---|---|---|
| 103K00000X | OK | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1881905834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 NW 106TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731145209",
"telephone_number": "405-476-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NW EXPRESSWAY",
"address_2": "SUITE 624A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127227",
"telephone_number": "405-242-5070",
"fax_number": "405-242-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "DERRICK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OK",
"license": "103K00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.