Active NPI
Rainey Michelle Smith
- Case Manager/Care Coordinator
- Kingston, OK
National Provider Identifier
1962193565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 717 Highway 70 E
Kingston, OK 73439-8253 - Phone
- (580) 795-3794
- Fax
- (855) 286-8580
- NPI assigned
- May 16, 2023
- Last updated
- May 16, 2023
- 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
717 Highway 70 E
Kingston, OK 73439-8253
Mailing address
PO Box 1710
Kingston, OK 73439-1710
Phone (580) 795-3794
Other names 1
- Rainey Michelle Porterfield
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": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1962193565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1710",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734391710",
"telephone_number": "580-795-3794",
"fax_number": "855-286-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 HIGHWAY 70 E",
"city": "KINGSTON",
"state": "OK",
"postal_code": "734398253",
"telephone_number": "580-795-3794",
"fax_number": "855-286-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RAINEY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAINEY",
"last_name": "PORTERFIELD",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kingston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.