Active NPI
Carolee Bryan
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1811863079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- ODMHSAS
- Practice address
- 1516 S Boston Ave Ste 105
Tulsa, OK 74119-4003 - Phone
- (918) 698-4129
- Fax
- (539) 664-9822
- NPI assigned
- Oct 15, 2025
- Last updated
- Jun 19, 2026
- 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 | ODMHSAS | OK | Primary |
Addresses
Primary practice location
1516 S Boston Ave Ste 105
Tulsa, OK 74119-4003
Mailing address
1013 N Hickory Dr
Broken Arrow, OK 74012-1628
Phone (918) 583-5588
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 |
|---|---|---|---|
| ODMHSAS | OK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1811863079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 N HICKORY DR",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121628",
"telephone_number": "918-583-5588",
"fax_number": "539-664-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S BOSTON AVE STE 105",
"city": "TULSA",
"state": "OK",
"postal_code": "741194003",
"telephone_number": "918-698-4129",
"fax_number": "539-664-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "CAROLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "ODMHSAS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.