Active NPI
Brenda Kay Hanley
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1912380916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8020 S Wheeling Ave, Apt. a
Tulsa, OK 74136 - Phone
- (209) 679-5984
- NPI assigned
- Jul 8, 2015
- Reactivated
- Jul 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | OK |
Addresses
Primary practice location
8020 S Wheeling Ave, Apt. a
Tulsa, OK 74136
Mailing address
8020 S Wheeling Ave, Apt. a
Tulsa, OK 74136
Phone (209) 679-5984
Other practice location 1
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone (209) 754-6525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
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": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1912380916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 S WHEELING AVE, APT. A",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "209-679-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 S WHEELING AVE, APT. A",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "209-679-5984"
}
],
"practiceLocations": [
{
"address_1": "891 Mountain Ranch Rd",
"address_purpose": "LOCATION",
"city": "San Andreas",
"state": "CA",
"postal_code": "952499713",
"country_code": "US",
"telephone_number": "209-754-6525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANLEY",
"first_name": "BRENDA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"deactivation_date": "2020-07-07",
"reactivation_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Email",
"affiliation": "N",
"endpointDescription": "Network with other providers within agency",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "collaboration",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "4103 S Yale Ave Ste B",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741356002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.