Individual provider Active NPI

Brenda Kay Hanley

  • Case Manager/Care Coordinator
  • Tulsa, OK
National Provider Identifier
1912380916
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL Email 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.

Verify at the official NPI Registry.