Nicole Blodgett
Individual provider Active NPI Case Manager/Care Coordinator · Miami, OK
NPI 1225565856 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1225565856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 307 D St NW
Miami, OK 74354-5711 - Phone
- (918) 961-7970
- NPI assigned
- May 13, 2017
- 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 | OK | Yes |
Addresses
Primary practice location
307 D St NW
Miami, OK 74354-5711
Mailing address
307 D St NW
Miami, OK 74354-5711
Phone (918) 961-7970
Other providers in Miami, OK
- Shelby Nicole Betsey
- Christopher Bewan
- Wayland R Billings
- Leslie L. Bissell
- Jana Michelle Blevins
- Kelly Ann Bokay
- Christina Lynn Bond
- Audrey Danielle Bosworth
- Sandra Sue Dale Boulware
- Tori Boyd
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 Jul 21, 2022. 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.