Melissa Coleman
Individual provider Active NPI Case Manager/Care Coordinator · Pawnee, OK
NPI 1043855372 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1043855372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 314179 (OK)
- Practice address
- 540 Illinois St
Pawnee, OK 74058-2036 - Phone
- (918) 762-1045
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314179 | OK | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 314179 | OK | Yes |
Addresses
Primary practice location
540 Illinois St
Pawnee, OK 74058-2036
Mailing address
346301 E 4100 Rd
Pawnee, OK 74058-2440
Phone (918) 729-5199
Other practice location 1
346301 E 4100 Rd
Pawnee, OK 74058-2440
Phone (918) 729-5199
Other providers in Pawnee, OK
- Mee-Kai Clark
- Jace Clinkenbeard
- William Edward Clymer
- Marsha Cobell-Moore
- Cockrell Eyecare Center
- Peggy Coleman
- Emily E Collins
- Yvonne Maurine Collins
- Crosby Cooper
- Patsy Ann Cooper
All providers in Pawnee, 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 Sep 10, 2020. 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.