Active NPI
Willie Gene Guest Jr.
- Social Worker
- Mustang, OK
National Provider Identifier
1992200760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7850
- Practice address
- 431 W Chantilly Way
Mustang, OK 73064-3929 - Phone
- (405) 833-7639
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7850 | OK | Primary |
Addresses
Primary practice location
431 W Chantilly Way
Mustang, OK 73064-3929
Mailing address
431 W Chantilly Way
Mustang, OK 73064-3929
Phone (405) 833-7639
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7850 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1992200760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 W CHANTILLY WAY",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730643929",
"telephone_number": "405-833-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W CHANTILLY WAY",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730643929",
"telephone_number": "405-833-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEST",
"first_name": "WILLIE",
"middle_name": "GENE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2021-04-16",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OK",
"license": "7850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.