Casey Layne Wise

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1044 N Narcissus Ave
Broken Arrow, OK 74012-1468

Phone

(918) 505-8209

NPI assigned

Aug 9, 2017

Sex

Male

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

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1972028132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N NARCISSUS AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N NARCISSUS AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121468",
            "telephone_number": "918-505-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "CASEY",
        "middle_name": "LAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Brooke Wilson, DPT
• Tarra Lynn Wilson, RBT
• Megan Rey Winford, APRN
• Louryse L. Winn
• Timothy Winn
• Kathleen Wise, PHARMD.
• Patsy Wiseman, APRN-CNP
• Payton Wisemore
• Melissa Withrow
• Rachel Woffinden

• Addiction (Substance Use Disorder) Counselor in Broken Arrow, OK
• Providers in Broken Arrow, 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 Aug 9, 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.

Verify at the official NPI Registry.