Cora Spencer

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

57533 Moccasin Trail Rd
Prague, OK 74864-1143

Phone

(405) 567-0054

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1821684671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SE 83RD PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356094",
            "telephone_number": "405-887-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57533 MOCCASIN TRAIL RD",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641143",
            "telephone_number": "405-567-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheffields Prague Pharmacy LLC (Prague Pharmacy)
• Francis M Shelton, EDD,PSRS,CM
• Simpsons Prague Pharmacy PLLC (Prague Pharmacy)
• Nickolas Lee Sitter
• Kyle Spears
• Vivian Tadlock
• Demetria Lavonna Tryon
• United Emergency Medical Service LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2456)
• Mary Ann Ward, PA-C

• Case Manager/Care Coordinator in Prague, OK
• Providers in Prague, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.