Active NPI
Makenzie Elaine Gotes, BA
- Case Manager/Care Coordinator
- Broken Arrow, OK
National Provider Identifier
1639863525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1700 W Albany St Ste 400
Broken Arrow, OK 74012-1474 - Phone
- (918) 824-2611
- NPI assigned
- Jun 5, 2023
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1700 W Albany St Ste 400
Broken Arrow, OK 74012-1474
Mailing address
PO Box 45
Shady Point, OK 74956-0045
Phone (918) 649-7913
Other names 1
- Mason Lain Colwell
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Innovations Private Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elara Caring I
- Home Health Agency
- Oklahoma City, OK
- NPI 1326264359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1639863525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45",
"city": "SHADY POINT",
"state": "OK",
"postal_code": "749560045",
"telephone_number": "918-649-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W ALBANY ST STE 400",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121474",
"telephone_number": "918-824-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTES",
"first_name": "MAKENZIE",
"middle_name": "ELAINE",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASON",
"last_name": "COLWELL",
"middle_name": "LAIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.