Miracle Chatman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

318164 Issued in OK

Practice address

624 NW 5TH St
Moore, OK 73160-3924

Phone

(405) 799-3379

NPI assigned

May 13, 2022

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1568109486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE APT 143",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346058",
            "telephone_number": "580-917-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 NW 5TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603924",
            "telephone_number": "405-799-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "MIRACLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "318164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad D Spiva
• Julie Thu Tran Chan, APRN-CNP
• Gracelin John Chance
• Melissa Chapman
• Windi Chapman
• Jillian Sabrina Chelini, LMFT
• Chee Yen Chew
• Eric Taylor Chiariello
• Childrens Eecovery Center
• Wanda Ann Chiles, LCSW

• Case Manager/Care Coordinator in Moore, OK
• Providers in Moore, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.