Kristin Blood

Individual provider Active NPI Case Manager/Care Coordinator · Mustang, OK

NPI 1346691730 · NPPES record last updated Jun 27, 2016

Key facts

NPI
1346691730
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
500 N Financial Ter Ste G
Mustang, OK 73064-4432
Phone
(405) 256-5996
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Positive Change, Inc. Past
since Sep 25, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

500 N Financial Ter Ste G
Mustang, OK 73064-4432

Mailing address

8912 N Rockwell Dr
Oklahoma City, OK 73132-3520
Phone (405) 664-6977

Other providers in Mustang, OK

All providers in Mustang, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.