Natalie Michelle Penick

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1000 Yukon Ave
Yukon, OK 73099-4690

Phone

(405) 265-3444

NPI assigned

Oct 6, 2021

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1144982349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S ROBERTS AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730363840",
            "telephone_number": "405-371-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 YUKON AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994690",
            "telephone_number": "405-265-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 E US Highway 66",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730369125",
            "country_code": "US",
            "telephone_number": "405-424-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENICK",
        "first_name": "NATALIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Payne
• Mandi G Payne, LCSW
• McKinley Haydon Payne, OTR/L
• Jana Pearson, CCC-SLP
• Pediatric Dental Care, PLLC
• Allyson Nicole Perez, COTA
• Ana Sophia Perez, RBT
• Stacey Lynn Perez, RN
• Dylan Perkins
• Leslie Perkins, RBT

• Case Manager/Care Coordinator in Yukon, OK
• Providers in Yukon, 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 Oct 14, 2022; 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.