Active NPI
Amanda Elliott
- Social Worker
- Norman, OK
National Provider Identifier
1922413731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4104 Teton Oval
Norman, OK 73072-1975 - Phone
- (405) 550-0878
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4104 Teton Oval
Norman, OK 73072-1975
Mailing address
PO Box 12978
Oklahoma City, OK 73157-2978
Phone (405) 550-0878
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6189 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1922413731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12978",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731572978",
"telephone_number": "405-550-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 TETON OVAL",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721975",
"telephone_number": "405-550-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.