Individual provider Active NPI

Emily Carol Kovin

  • Case Manager/Care Coordinator
  • Catoosa, OK
National Provider Identifier
1932039096
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
M084301127 Issued in OK
Practice address
19320 E Admiral PL Ste B
Catoosa, OK 74015-3240
Phone
(918) 340-5503
NPI assigned
May 21, 2026
Reactivated
Jul 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X M084301127 OK Primary

Addresses

Primary practice location

19320 E Admiral PL Ste B
Catoosa, OK 74015-3240

Mailing address

608 N Yellowood Ave
Broken Arrow, OK 74012-0604
Phone (918) 533-6637

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

LicenseStateTypeSpecialty
M084301127OKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1932039096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N YELLOWOOD AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120604",
            "telephone_number": "918-533-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153240",
            "telephone_number": "918-340-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVIN",
        "first_name": "EMILY",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "deactivation_date": "2026-05-26",
        "reactivation_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "M084301127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.