1679512784 NPI number — MRS. TANYA KAYE JACKSON DPT

Table of content: MRS. TANYA KAYE JACKSON DPT (NPI 1679512784)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679512784 NPI number — MRS. TANYA KAYE JACKSON DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JACKSON
Provider First Name:
TANYA
Provider Middle Name:
KAYE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679512784
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2488 E 81ST ST STE 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74137-4265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-927-3737
Provider Business Mailing Address Fax Number:
918-927-3193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12800 S MEMORIAL DR STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIXBY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74008-2577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-394-2770
Provider Business Practice Location Address Fax Number:
918-394-2772
Provider Enumeration Date:
06/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  3107 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200239070A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".