DYLAN TEDVON ANDERSON (NPI# 1043837230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043837230 |
| Entity Type | Individual |
| Full Name | DYLAN TEDVON ANDERSON |
| Practice Address |
515 S Denver Ave Apt 309 Tulsa OK 74103-3873 |
| Practice Telephone | 9189346217 |
| Mailing Telephone | 9189346217 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
515 S DENVER AVE APT 309 |
| City | TULSA |
| State | OK |
| Zip Code | 74103-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
| 1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
| 1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
| 1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
| 1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
| 1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
| 1245651264 | Shannon Adcock | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2013-12-17 |
| 1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
| 1619116431 | Patricia Eilzabeth Cox | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2009-02-18 |
| Find all providers in zip 74103 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1427657212 | Lakin Kennedy Monroe | Case Manager/Care Coordinator | 7781 S Mingo Rd Apt 512, Tulsa, OK 74133-3318 | 2020-10-22 |
| 1497369573 | Charles Ivy | Case Manager/Care Coordinator | 4620 S Vandalia Ave, Tulsa, OK 74135-4715 | 2020-09-04 |
| 1255945952 | Erin Martin | Case Manager/Care Coordinator | 5520 S Yorktown Pl, Tulsa, OK 74105-6116 | 2020-09-01 |
| 1700490372 | Vanessa Charnell Bledsoe | Case Manager/Care Coordinator | 4966 N Frankfort Pl, Tulsa, OK 74126-3221 | 2020-09-01 |
| 1760092670 | Kateri Smith | Case Manager/Care Coordinator | 1023 E 41st St Apt 6, Tulsa, OK 74105-7620 | 2020-08-05 |
| 1760091938 | Lucy E Rutland | Case Manager/Care Coordinator | 4948 S Quincy Ave, Tulsa, OK 74105-4731 | 2020-07-23 |
| 1134746100 | Markeisha Lashae Mays | Case Manager/Care Coordinator | 9636 E 26th St, Tulsa, OK 74129-7010 | 2020-06-25 |
| 1649894767 | Thomas Scott Godkins | Case Manager/Care Coordinator | 909 E 36th Pl, Tulsa, OK 74105-3001 | 2020-06-04 |
| 1962025932 | Beth Ann Clinton | Case Manager/Care Coordinator | 1820 S 84th East Ave, Tulsa, OK 74112-8341 | 2020-05-25 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.