Active NPI
Chasitee Qwinette Burdine
- Contractor
- Prague, OK
National Provider Identifier
1891009312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 57533 Moccasin Trail Rd
Prague, OK 74864 - Phone
- (405) 567-0054
- NPI assigned
- Jul 27, 2010
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
57533 Moccasin Trail Rd
Prague, OK 74864
Mailing address
1201 N Union Ave
Shawnee, OK 74801-5022
Phone (405) 650-7738
Other names 1
- Chasitee Qwinette Cook
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": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1891009312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N UNION AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748015022",
"telephone_number": "405-650-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57533 MOCCASIN TRAIL RD",
"city": "PRAGUE",
"state": "OK",
"postal_code": "74864",
"telephone_number": "405-567-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDINE",
"first_name": "CHASITEE",
"middle_name": "QWINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHASITEE",
"last_name": "COOK",
"middle_name": "QWINETTE",
"credential": "CASE MANAGER (CMII)",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Prague, OK
- Adjust Chiropractic PLLC
- Allcare Pharmacy Flowers & Gifts Inc
- Heather Faye Annis, M.S., LPC
- Raven Wind Ayers
- Bristow Endeavor Healthcare, LLC (Prague Healthcare Center)
- Abigail Jean Burris
- Care Nursing Home Inc. (Parkland Manor)
- Charles Albert Cashman, DDS
- Central Ok Family Med Ctr
- Central Oklahoma Family Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.