Staci Channel
Individual provider Active NPI Case Manager/Care Coordinator · Cashion, OK
NPI 1407175698 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1407175698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 5620 Northridge Run
Cashion, OK 73016-9426 - Phone
- (405) 260-7662
- NPI assigned
- May 27, 2010
- 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
5620 Northridge Run
Cashion, OK 73016-9426
Mailing address
819 Mimosa Dr
Guthrie, OK 73044-2025
Other providers in Cashion, OK
- Taylor Aguirre
- Cynthia Caroline Bailey
- Randi Leigh Brandt
- Cashion Public Schools
- Megan Cathleen Gibson
- Brenda Sue Moody
- Piece Out
- Jo Ann Rother
- Symachia LLC
All providers in Cashion, 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 May 27, 2010. 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.