MRS. LORAINE GRACE SISTO-WATSON (NPI# 1205310661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205310661 |
| Entity Type | Individual |
| Full Name | MRS. LORAINE GRACE SISTO-WATSON |
| Practice Address |
2019 E Okmulgee Ave Muskogee OK 74403-5841 |
| Practice Telephone | 4058380999 |
| Mailing Telephone | 4058380999 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 171M00000X | 05 |
| Street Address |
2019 E OKMULGEE AVE |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| 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 |
|---|---|---|---|---|
| 1356965370 | Robin R Pollock | Case Manager/Care Coordinator | 1139 N Main St, Muskogee, OK 74401-4441 | 2020-06-05 |
| 1912532086 | Jill Ann Tanyan | Case Manager/Care Coordinator | 512 Burbank St, Muskogee, OK 74403-8303 | 2020-03-09 |
| 1033768502 | Kristy Miller | Case Manager/Care Coordinator | 710 N G St, Muskogee, OK 74403-3416 | 2019-09-08 |
| 1083260400 | Shelia Manuel | Case Manager/Care Coordinator | 828 S 22nd St, Muskogee, OK 74401-5505 | 2019-08-12 |
| 1003461039 | Sharla Denice Mcdaniel | Case Manager/Care Coordinator | 2410 Elizabeth St, Muskogee, OK 74401-5637 | 2019-08-06 |
| 1689239949 | Ariel Sade Swanagan | Case Manager/Care Coordinator | 111 S 7th St, Muskogee, OK 74401-7513 | 2019-05-02 |
| 1316443088 | Justin Alan Markovics | Case Manager/Care Coordinator | 5101 S Cherokee St Unit 603, Muskogee, OK 74403-8089 | 2018-04-02 |
| 1922524115 | Jacqueline Annette Johns | Case Manager/Care Coordinator | 1602 Austin St, Muskogee, OK 74401-3611 | 2017-08-18 |
| 1740724764 | Kenna Mccoy | Case Manager/Care Coordinator | 414 Grand Ave, Muskogee, OK 74403-6226 | 2016-12-09 |
| 1396288957 | Monica Ross | Case Manager/Care Coordinator | 1007 N 3rd St, Muskogee, OK 74401-4410 | 2016-11-29 |
| Find all providers in MUSKOGEE | ||||
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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.