Sedric D Collins

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8404 N 141St East Ave Apt 202
Owasso, OK 74055-2752

Phone

(318) 499-9984

NPI assigned

Mar 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1083317325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 33RD ST UNIT 8021",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730839519",
            "telephone_number": "318-499-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 N 141ST EAST AVE APT 202",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552752",
            "telephone_number": "318-499-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SEDRIC",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cole, COTA
• Elizabeth J Coleman, SLP
• Tammy Jo Coletta
• Joshua Collins, COTA/L
• Kassidy Collins
• Debra Sue Colpitt, M.D.
• Bryce Cameron Colt, DC
• Marty Drake Colvin, CM
• Community Counseling of Owasso, LLC
• Conhold of Owasso LLC (Sequoyah Pointe Living Center)

• Case Manager/Care Coordinator in Owasso, OK
• Providers in Owasso, 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 Mar 24, 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.

Verify at the official NPI Registry.