KYRA CLARK (NPI# 1083093512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083093512 |
| Entity Type | Individual |
| Full Name | KYRA CLARK |
| Practice Address |
6010 S 73rd East Ave Tulsa OK 74145-9329 |
| Practice Telephone | 9186130250 |
| Mailing Telephone | 9186130250 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931374 | Kyra Anne Clark | Behavior Technician | 133 Windy Meadows Dr Ste 101, Schertz, TX 78154-1543 | 2019-09-16 |
| 1053884619 | Kyra Clark | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2019-01-07 |
| 1871552968 | Kyra P Clark | Internal Medicine | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-03-20 |
| Street Address |
6010 S 73RD EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| 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 |
| 1043837230 | Dylan Tedvon Anderson | Case Manager/Care Coordinator | 515 S Denver Ave Apt 309, Tulsa, OK 74103-3873 | 2020-07-03 |
| 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 |
| 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.