Kassandra Jo Brenneman
Individual provider Active NPI Case Manager/Care Coordinator · Sapulpa, OK
NPI 1295590933 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1295590933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 23 E Ross Ave
Sapulpa, OK 74066-6423 - Phone
- (918) 227-2016
- NPI assigned
- Feb 20, 2024
- 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
23 E Ross Ave
Sapulpa, OK 74066-6423
Mailing address
23 E Ross Ave
Sapulpa, OK 74066-6423
Phone (918) 227-2016
Other providers in Sapulpa, OK
- Brianna Joy Boyer
- Deborah Brantly Hunt
- Leslie E. Brasel
- Johnnie Brasuell
- Michael Scott Breland
- John Michael Brest
- Brian S. Hicks D.C. Inc P.C.
- Irina N Bridges
- Claire N Bridgewater
- Bridget Jovel Britton-Houston
All providers in Sapulpa, 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 Feb 20, 2024. 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.