Jamie Niccole Smith
Individual provider Active NPI Case Manager/Care Coordinator · Coalgate, OK
NPI 1609359181 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1609359181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 709 S Arno St
Coalgate, OK 74538-1616 - Phone
- (405) 313-2342
- NPI assigned
- Sep 11, 2018
- 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
709 S Arno St
Coalgate, OK 74538-1616
Mailing address
709 S Arno St
Coalgate, OK 74538-1616
Phone (405) 313-2342
Other providers in Coalgate, OK
- Tracy Mowdy Penney
- Pennington Creek Life House
- Richard J Helton
- Richard J Helton
- Madisyn Romano
- Alyssia Leann Tomlinson
- Jayson Alan Williams
- Billy Ray Wilson Sr.
- Samantha Nicole Wood
- Xyz Medical LLC
All providers in Coalgate, 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 Sep 11, 2018. 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.