Firewolf Thompson Jeffries, MASTER DEGREE IN S.W

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

9955 W 160TH St N
Skiatook, OK 74070-6227

Phone

(918) 549-1013

NPI assigned

May 18, 2010

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrity Pathways Inc

  • Community/Behavioral Health Agency
  • Muskogee, OK
  • NPI 1780029793
  Medicare reassignment NPD

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1992024889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 W 160TH ST N",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740706227",
            "telephone_number": "918-549-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 W 160TH ST N",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740706227",
            "telephone_number": "918-549-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "FIREWOLF",
        "middle_name": "THOMPSON",
        "name_prefix": "Mr.",
        "credential": "MASTER DEGREE IN S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lea Horinek, PA-C
• Jill Yvonne Houpe, LPC
• Andrew Christian Hurst, DPT
• Jake Landreth, DC, Inc
• Elisa M James, COTA/L
• Amanda Jesse
• John Henry Thomason
• Marsha A Johnson
• Neva Johnson
• Robert Lee Johnson, DC

• Social Worker in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.