Active NPI
Charla Patterson
- Case Manager/Care Coordinator
- Wagoner, OK
National Provider Identifier
1396104030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2109 S Highway 69
Wagoner, OK 74467-9310 - Phone
- (918) 708-3006
- Fax
- (918) 777-9016
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- 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
2109 S Highway 69
Wagoner, OK 74467-9310
Mailing address
2109 S Highway 69
Wagoner, OK 74467-9310
Phone (918) 708-3006
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Improving Lives Counseling Services, Inc. | Past | Accepting new patients | |
| Integrated Therapy Solutions of Oklahoma, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1487967444
-
- Community/Behavioral Health Agency
- Moore, OK
- NPI 1659855278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1396104030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 S HIGHWAY 69",
"city": "WAGONER",
"state": "OK",
"postal_code": "744679310",
"telephone_number": "918-708-3006",
"fax_number": "918-777-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 S HIGHWAY 69",
"city": "WAGONER",
"state": "OK",
"postal_code": "744679310",
"telephone_number": "918-708-3006",
"fax_number": "918-777-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "CHARLA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.