NPI 1639045503 · live from the CMS NPI Registry
Janet Rae Maddox, CDCES
Registered Nurse, Diabetes Educator in Talihina, OK. National Provider Identifier 1639045503, active.
NPI record
| NPI | 1639045503 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1 Choctaw Way, Talihina, OK 74571 |
| Practice phone | 539-316-6683 |
| Enumerated | October 16, 2025 |
| Last updated | October 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R0058086 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.