Active NPI
Sareesa Moeller
- Social Worker
- Tulsa, OK
National Provider Identifier
1972899516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5553 S Peoria Ave
Ste 106
Tulsa, OK 74105-6800 - Phone
- (918) 779-4556
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
5553 S Peoria Ave
Ste 106
Tulsa, OK 74105-6800
Mailing address
5553 S Peoria Ave
Ste 106
Tulsa, OK 74105-6800
Phone (918) 779-4556
Other names 1
- Sareesa Boyd
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Youth Intervention Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1609188853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1972899516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5553 S PEORIA AVE",
"address_2": "STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741056800",
"telephone_number": "918-779-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5553 S PEORIA AVE",
"address_2": "STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741056800",
"telephone_number": "918-779-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "SAREESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAREESA",
"last_name": "BOYD",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 22, 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.