MS. JODY LYNN DALLIS (NPI# 1073175832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073175832 |
| Entity Type | Individual |
| Full Name | MS. JODY LYNN DALLIS |
| Credential | BSW |
| Practice Address |
Tenkiller Behavioral Services 27753 S. Welling Rd Welling OK 74464 |
| Mailing Address |
14204 N 480 Rd Tahlequah OK 74464-0338 |
| Practice Telephone | 9187085357 |
| Mailing Telephone | 9187085357 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| 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 |
TENKILLER BEHAVIORAL SERVICES 27753 S. WELLING RD |
| City | WELLING |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| 1568885499 | Rebekah Leanne Gray | Nurse Practitioner | Tahlequah Family Medicine Clinic, 204 Woodlawn Ave, Tahlequah, OK 74464 | 2014-01-29 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1013406669 | Tanesha Lacie Carter | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2018-05-08 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
| 1437404506 | Tabitha Sue Bluebird | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-07-16 |
| 1851677488 | Rose Murphy | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-27 |
| 1164706305 | Tammie Brady | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-06 |
| 1679857817 | Monica Raines | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-10-06 |
| 1922395573 | Anita Sue Kilgore | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2011-07-05 |
| Find all providers in WELLING | ||||
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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.