Individual provider Active NPI

Johnnie Depot, BA

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1902318538
Registry record updated Nov 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
222 E Sheridan Ave Ste 2
Oklahoma City, OK 73104-4209
Phone
(866) 926-6552
NPI assigned
Nov 5, 2017
Last updated
Nov 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

222 E Sheridan Ave Ste 2
Oklahoma City, OK 73104-4209

Mailing address

718 E Main St TRLR 23
Weatherford, OK 73096-5655
Phone (580) 819-1004

Other names 1

  • Ms. Johnnie L Airington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611001840 OK Practitioner - Mental Health Counselor 9133661705 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medbill LLC CurrentSince May 6, 2024 Accepting new patients
Mosaic Health Foundation PastSince Oct 15, 2023 Accepting new patients

Locations

5350 S Western Ave
Ste 215
Oklahoma City, OK 73109
Phone (405) 518-0082

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1902318538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E MAIN ST TRLR 23",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965655",
            "telephone_number": "580-819-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SHERIDAN AVE STE 2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044209",
            "telephone_number": "866-926-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPOT",
        "first_name": "JOHNNIE",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNIE",
            "last_name": "AIRINGTON",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.