Individual provider Active NPI

Stephanie Patanastiankul, BHCMII BHCMI CPRSS

  • Case Manager/Care Coordinator
  • Norman, OK
National Provider Identifier
1093573305
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
319323 Issued in OK
Practice address
1120 E Main St
Norman, OK 73071-5300
Phone
(405) 360-5100
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 319323 OK Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

1120 E Main St
Norman, OK 73071-5300

Mailing address

1437 Bill Carrol Dr
Norman, OK 73071-2803
Phone (405) 570-7422

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

State licenses

LicenseStateTypeSpecialty
319323OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Aug 10, 2025 Accepting new patients

Locations

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

1120 E Main St
Norman, OK 73071
Phone (405) 573-3518

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1093573305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 BILL CARROL DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730712803",
            "telephone_number": "405-570-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715300",
            "telephone_number": "405-360-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANASTIANKUL",
        "first_name": "STEPHANIE",
        "credential": "BHCMII BHCMI CPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "319323",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.