Active NPI
Noah McKinley
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1265812937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317 - Phone
- (918) 712-0859
- Fax
- (918) 388-6456
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317
Mailing address
3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317
Phone (918) 712-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100746170G | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1265812937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR",
"address_2": "SUITE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056317",
"telephone_number": "918-712-0859",
"fax_number": "918-388-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR",
"address_2": "SUITE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056317",
"telephone_number": "918-712-0859",
"fax_number": "918-388-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100746170G",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.