Active NPI
Jaime Severns
- Case Manager/Care Coordinator
- Sallisaw, OK
National Provider Identifier
1982442182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1108 N Wheeler Ave
Sallisaw, OK 74955-2227 - Phone
- (918) 775-5513
- Fax
- (918) 775-5526
- NPI assigned
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Mailing address
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Phone (918) 775-5513
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 |
|---|---|---|---|
| Creoks Mental Health Services | Multi-Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1982442182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 N WHEELER AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749552227",
"telephone_number": "918-775-5513",
"fax_number": "918-775-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 N WHEELER AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749552227",
"telephone_number": "918-775-5513",
"fax_number": "918-775-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERNS",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.