Chelsea Carroll, CM1
Individual provider Active NPI Case Manager/Care Coordinator · Ravia, OK
NPI 1649666348 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1649666348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 9420 Red Man Rd.
Ravia, OK 73455-0061 - Phone
- (580) 371-7328
- NPI assigned
- Apr 9, 2015
- 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 | OK | Yes |
Addresses
Primary practice location
9420 Red Man Rd.
Ravia, OK 73455-0061
Mailing address
9420 Red Man Rd.
Ravia, OK 73455-0061
Phone (580) 371-7328
Other providers in Ravia, OK
All providers in Ravia, 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 Apr 9, 2015. 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.