Lydia Evans Alsup
Individual provider Active NPI Case Manager/Care Coordinator · Miami, OK
NPI 1154026151 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1154026151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 111 S Treaty Rd
Miami, OK 74354-5327 - Phone
- (918) 540-1511
- Fax
- (918) 542-7374
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
111 S Treaty Rd
Miami, OK 74354-5327
Mailing address
111 S Treaty Rd
Miami, OK 74354-5327
Phone (918) 540-1511
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- Holly Ann Anderson
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- April Brock
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All providers in Miami, 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 Mar 31, 2023. 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.