Tyrani Nashelle Blaylock - Thomas
Individual provider Active NPI Case Manager/Care Coordinator · El Reno, OK
NPI 1659947828 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1659947828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 7777 E US Highway 66
El Reno, OK 73036-9125 - Phone
- (405) 422-8800
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
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
7777 E US Highway 66
El Reno, OK 73036-9125
Mailing address
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108
Phone (405) 424-7711
Other providers in El Reno, OK
- Tommie Lynne Billings
- Kelly Rae Bingham
- John Birdsong
- Zachary Blackowl
- Dawn Lee Bland
- Victoria Blazevich
- Emily Bourke
- Tanya Boyd
- Bradley Bibb MD PLLC
- Tracie Lynn Brady
All providers in El Reno, 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 Jul 6, 2023. 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.