Active NPI
Kaitlyn Stoops
- Case Manager/Care Coordinator
- Pryor, OK
National Provider Identifier
1033735741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 109 N Fairland St
Pryor, OK 74361-4205 - Phone
- (844) 458-2100
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
109 N Fairland St
Pryor, OK 74361-4205
Mailing address
109 N Fairland St
Pryor, OK 74361-4205
Phone (844) 458-2100
Other practice location 1
34 N Washington St
Ardmore, OK 73401-7013
Phone (580) 670-3117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1033735741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N FAIRLAND ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614205",
"telephone_number": "844-458-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N FAIRLAND ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614205",
"telephone_number": "844-458-2100"
}
],
"practiceLocations": [
{
"address_1": "34 N Washington St",
"address_purpose": "LOCATION",
"city": "Ardmore",
"state": "OK",
"postal_code": "734017013",
"country_code": "US",
"telephone_number": "580-670-3117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOOPS",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2023-02-17",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.