Active NPI
Jhavonne Tyner
- Case Manager/Care Coordinator
- Oklahoma City, OK
National Provider Identifier
1912464124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3035 NW 63Rd St Ste 200
Oklahoma City, OK 73116-3606 - Phone
- (405) 242-2242
- NPI assigned
- Feb 23, 2019
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3035 NW 63Rd St Ste 200
Oklahoma City, OK 73116-3606
Mailing address
1901 Breakers West Blvd
Oklahoma City, OK 73128-7014
Phone (405) 532-0948
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": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550880000000",
"number": "1912464124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BREAKERS WEST BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731287014",
"telephone_number": "405-532-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 NW 63RD ST STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163606",
"telephone_number": "405-242-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "JHAVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-23",
"last_updated": "2019-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.