Kristi Boydston
Individual provider Active NPI Case Manager/Care Coordinator · Okmulgee, OK
NPI 1215607643 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1215607643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1803 S Wood Dr
Okmulgee, OK 74447-6825 - Phone
- (918) 756-9250
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
1803 S Wood Dr
Okmulgee, OK 74447-6825
Mailing address
1803 S Wood Dr
Okmulgee, OK 74447-6825
Phone (918) 756-9250
Other providers in Okmulgee, OK
- Allison A Blanchard
- Gary Fred Blank
- Dana Claudia Boone-Price
- Samantha Shawn Bowman
- Joshua E Boyd
- Benjamin Bradley
- Genna Bradley
- Robert Brantley
- Adrianne Elise Brown
- Kyle Timothy Brown
All providers in Okmulgee, 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 Sep 16, 2021. 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.