Tolissa Autry, MHR
Individual provider Active NPI Case Manager/Care Coordinator · Tulsa, OK
NPI 1003520388 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1003520388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2325 S Harvard Ave
Tulsa, OK 74114-3300 - Phone
- (918) 859-0986
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | ||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2325 S Harvard Ave
Tulsa, OK 74114-3300
Mailing address
5516 E 35TH St
Tulsa, OK 74135-5224
Other providers in Tulsa, OK
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- Laura Auten
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- Autizen Therapy PLLC
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- Auxarc Imc, Inc
- Avalon Park Pediatrics
- Kevin Avalos
- Charlotte Aveary
All providers in Tulsa, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.