{
"Npi": {
"NPI": "1891959276",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VENABLE",
"FirstName": "JERRI",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "B.S., CMII",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BARNARD",
"OtherFirstName": "JERRI",
"OtherMiddleName": "L",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "B.S., CADC, CM-II",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "700 S PENN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARTLESVILLE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74003-3847",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-337-8080",
"MailingAddressFaxNumber": "918-337-8099",
"FirstLinePracticeLocationAddress": "700 S PENN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARTLESVILLE",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74003-3847",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-337-8080",
"PracticeLocationAddressFaxNumber": "918-337-8099",
"EnumerationDate": "07/15/2008",
"LastUpdateDate": "07/13/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": "314252",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}