Active NPI
Shailey Aleice Standingwater
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1962005306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2325 S Harvard Ave
Tulsa, OK 74114-3300 - Phone
- (918) 712-4301
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2325 S Harvard Ave
Tulsa, OK 74114-3300
Mailing address
14609 E 12TH St
Tulsa, OK 74108-4519
Phone (918) 814-4576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2020.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1962005306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14609 E 12TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741084519",
"telephone_number": "918-814-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143300",
"telephone_number": "918-712-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDINGWATER",
"first_name": "SHAILEY",
"middle_name": "ALEICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"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 Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.