Tanya L Edgell, BA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

RR 1,
Boley, OK 74829

Phone

(918) 667-3367

Fax

(918) 667-3387

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stepping Stones, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boley, OK
  • NPI 1508865841
  NPD (past)
• Stepping Stones, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boley, OK
  • NPI 1649360025
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1003118274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "BOLEY",
            "state": "OK",
            "postal_code": "74829",
            "telephone_number": "918-667-3367",
            "fax_number": "918-667-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1,",
            "city": "BOLEY",
            "state": "OK",
            "postal_code": "74829",
            "telephone_number": "918-667-3367",
            "fax_number": "918-667-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGELL",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100685660A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100685660D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Harbin Chelf, RN
• Roxy Elaine Chiles Gunns
• Dallas Michelle Cooper, BSW, PSRS
• Rhonda Lee Cowan, BS, BHRS, CM
• Brandi Marie Cummings, BA, BHRS
• Susie Esters
• Carolyn M Farris, RN
• Nola Larue Gibson, RN
• Michelle Leeann Gillham, BA, BHRS, CM
• Clinton Lloyd Grimes, BS

• Case Manager/Care Coordinator in Boley, OK
• Providers in Boley, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.