Cari Christine Meddock

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

082034941 Issued in OK

Practice address

804 Keithan St
Broken Bow, OK 74728-2728

Phone

(580) 236-2210

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1962787135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KEITHAN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282728",
            "telephone_number": "580-236-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KEITHAN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282728",
            "telephone_number": "580-236-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDOCK",
        "first_name": "CARI",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "082034941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCurtain Memorial Medical Management, Inc. (Memorial North Health Center)
• Brittany McDonald
• Jason R McHenry, P.A.
• Deann McMurl
• Med Southwest, PLLC (MyEyeDr.)
• Christan Metcalf
• Nicole Millward
• Monty J Grugan DO PC
• Lindsey O'Rear, PHARMD
• OB Hearne DDS PC

• Addiction (Substance Use Disorder) Counselor in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.