Crysta Nicole Cunningham
Individual provider Active NPI Case Manager/Care Coordinator · Jay, OK
NPI 1700523883 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1700523883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1015 W Washbourne St
Jay, OK 74346-4205 - Phone
- (918) 308-5513
- NPI assigned
- May 19, 2022
- 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 | Yes |
Addresses
Primary practice location
1015 W Washbourne St
Jay, OK 74346-4205
Mailing address
1617 W Atlanta St
Jay, OK 74346-3816
Phone (918) 353-3459
Other providers in Jay, OK
- Country Style Health Care, Inc.XII
- James Robert Cox
- Sarah Cox
- Crawford & Crawford, Inc.
- Ronna M Crosby
- Stacy Denise Custer
- Addison Davis
- David Josiah Davis
- Shemaiah Davis
- Kaylee Delatorre
All providers in Jay, 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 May 19, 2022. 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.