Dezrai Treece

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

429 N Union Ave
Shawnee, OK 74801-7064

Phone

(405) 275-1844

Fax

(405) 275-1124

NPI assigned

Sep 19, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1174350441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017064",
            "telephone_number": "405-275-1844",
            "fax_number": "405-275-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017064",
            "telephone_number": "405-275-1844",
            "fax_number": "405-275-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "DEZRAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jayne Toth, MD
• Jeseca Townsend
• Kayla Townsend
• Sharon Trammell
• Transitions Inc Shawnee
• Triad Complete Healthcare A10 LLC
• John Britt Trimble
• Kristi D Trimble
• Jessica Leanna Lajuan Trotter
• Stephen Eugene Trotter, MD

• Case Manager/Care Coordinator in Shawnee, OK
• Providers in Shawnee, 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 Sep 19, 2024; 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.