Active NPI
Tracy D Hopper
- Case Manager/Care Coordinator
- Vinita, OK
National Provider Identifier
1902180748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RC4904
- Practice address
- 35164 S 4465 Rd
Vinita, OK 74301-6782 - Phone
- (918) 782-1414
- Fax
- (918) 782-1415
- NPI assigned
- Sep 28, 2011
- 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 | RC4904 | OK | Primary |
Addresses
Primary practice location
35164 S 4465 Rd
Vinita, OK 74301-6782
Mailing address
35164 S 4465 Rd
Vinita, OK 74301-6782
Phone (918) 782-1414
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 |
|---|---|---|---|
| RC4904 | OK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tad Investments | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Assisted Living Facility
- Vinita, OK
- NPI 1659531887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1902180748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35164 S 4465 RD",
"city": "VINITA",
"state": "OK",
"postal_code": "743016782",
"telephone_number": "918-782-1414",
"fax_number": "918-782-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35164 S 4465 RD",
"city": "VINITA",
"state": "OK",
"postal_code": "743016782",
"telephone_number": "918-782-1414",
"fax_number": "918-782-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPER",
"first_name": "TRACY",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "RC4904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.