Raven Cheyanne James
Individual provider Active NPI Case Manager/Care Coordinator · Broken Bow, OK
NPI 1437895216 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1437895216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 430 Belpine Loop
Broken Bow, OK 74728-5887 - Phone
- (580) 306-2170
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- No
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
430 Belpine Loop
Broken Bow, OK 74728-5887
Mailing address
300 Dalton Ave
Valliant, OK 74764
Other providers in Broken Bow, OK
- Heartland Hospice Services, Inc.
- Heartland Hospice-Broken Bow
- Hochatown Medical Clinic LLC
- Holly Creek School
- Indian Nations Health Care LLC
- Jane M Harmon DNP,RN,Pmhnp-BC,PLLC
- Mykal Jordan
- Kylah Cheyenne Kelly
- Kiamichi Family Medical Center Inc.
- Kiamichi Family Medical Center, Inc
All providers in Broken Bow, 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 5, 2022. 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.