Individual provider Active NPI

Wendi J Rollins, CM

  • Case Manager/Care Coordinator
  • Midwest City, OK
National Provider Identifier
1538440698
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
23738 Issued in OK
Practice address
8855 E Reno Ave Ste 200
Midwest City, OK 73110-7724
Phone
(405) 549-8606
Fax
(405) 300-0646
NPI assigned
Sep 2, 2011
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 Coordinator 171M00000X 23738 OK Primary

Addresses

Primary practice location

8855 E Reno Ave Ste 200
Midwest City, OK 73110-7724

Mailing address

8855 E Reno Ave Ste 200
Midwest City, OK 73110-7724
Phone (405) 549-8606

Other identifiers 1

IdentifierTypeStateIssuer
1659685402MedicaidOK

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

State licenses

LicenseStateTypeSpecialty
23738OKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1538440698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVE STE 200",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107724",
            "telephone_number": "405-549-8606",
            "fax_number": "405-300-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVE STE 200",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107724",
            "telephone_number": "405-549-8606",
            "fax_number": "405-300-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "WENDI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "23738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659685402",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.