Individual provider Active NPI

Aniyah Utendahl

  • Case Manager/Care Coordinator
  • Edmond, OK
National Provider Identifier
1508757006
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
306 W Covell Rd
Edmond, OK 73003-2113
Phone
(405) 359-6651
NPI assigned
Jul 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X OK Primary

Addresses

Primary practice location

306 W Covell Rd
Edmond, OK 73003-2113

Mailing address

14600 N Rockwell Ave Apt 2013
Oklahoma City, OK 73142-8221
Phone (405) 471-1704

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1508757006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 N ROCKWELL AVE APT 2013",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731428221",
            "telephone_number": "405-471-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032113",
            "telephone_number": "405-359-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTENDAHL",
        "first_name": "ANIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.