Mary Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Bartlesville, OK
NPI 1912480435 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1912480435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 700 SW Penn
Bartlesville, OK 74003-3847 - Phone
- (918) 337-8080
- Fax
- (918) 337-8099
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
700 SW Penn
Bartlesville, OK 74003-3847
Mailing address
700 SW Penn
Bartlesville, OK 74003-3847
Phone (918) 337-8080
NPI Registry JSON
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1912480435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SW PENN",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-337-8080",
"fax_number": "918-337-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW PENN",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033847",
"telephone_number": "918-337-8080",
"fax_number": "918-337-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2019-07-01",
"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 Bartlesville, OK
- Amedisys Oklahoma, LLC
- Alison Anderson
- Elizabeth Baughman Anderson
- Gina Leanne Anderson
- Katherine Marie Anderson
- Shelley Deeann Anderson
- Andrea J Wagner PLLC
- Ashley Elizabeth Andrews
- Anesthesia Services LLC
- Anesthesiologists of Bartlesville
All providers in Bartlesville, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.