Sommer Taylor Berry

Individual provider Active NPI Case Manager/Care Coordinator · Oklahoma City, OK

NPI 1003699042 · NPPES record last updated Aug 15, 2023

Key facts

NPI
1003699042
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
4436 NW 50TH St
Oklahoma City, OK 73112-2212
Phone
(405) 858-2700
NPI assigned
Aug 15, 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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

4436 NW 50TH St
Oklahoma City, OK 73112-2212

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.