Active NPI
Bobby Lee Hayes
- Case Manager/Care Coordinator
- Tahlequah, OK
National Provider Identifier
1710664842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 319437
- Practice address
- 113 W Keetoowah St
Tahlequah, OK 74464-3819 - Phone
- (918) 931-3700
- NPI assigned
- Jun 30, 2023
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 74360 | OK | |
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 319437 | OK | Primary |
Addresses
Primary practice location
113 W Keetoowah St
Tahlequah, OK 74464-3819
Mailing address
21677 E Horseshoe Bend Rd
Park Hill, OK 74451-4133
Phone (918) 772-7499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74360 | OK | MD | Paramedic |
| 319437 | OK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wrap Project Inc | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
113 W Keetoowah St
Tahlequah, OK 74464
Phone (918) 525-2479
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tahlequah, OK
- NPI 1194438473
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1710664842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21677 E HORSESHOE BEND RD",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744514133",
"telephone_number": "918-772-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W KEETOOWAH ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643819",
"telephone_number": "918-931-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "BOBBY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-30",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OK",
"license": "74360",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "319437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.