TRACY LYNE COQUILLETTE (NPI# 1578123022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578123022 |
| Entity Type | Individual |
| Full Name | TRACY LYNE COQUILLETTE |
| Practice Address |
28788 N 3964 Rd Ochelata OK 74051-2049 |
| Practice Telephone | 6205153210 |
| Mailing Telephone | 6205153210 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| 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 |
| Street Address |
28788 N 3964 RD |
| City | OCHELATA |
| State | OK |
| Zip Code | 74051-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324209 | Angela Mackey | Counselor | 396301 W Rd 3000, Ochelata, OK 74051 | 2017-02-03 |
| 1205310349 | Shaunda Stanley | Registered Nurse | 395200 W 2900 Rd, Ochelata, OK 74051 | 2018-09-24 |
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1972067585 | Kayla Horton | Licensed Practical Nurse | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2019-01-28 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| 1619243888 | Amanda Bighorse | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2012-04-01 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1700324209 | Angela Mackey | Counselor | 396301 W Rd 3000, Ochelata, OK 74051 | 2017-02-03 |
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1972067585 | Kayla Horton | Licensed Practical Nurse | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2019-01-28 |
| 1205310349 | Shaunda Stanley | Registered Nurse | 395200 W 2900 Rd, Ochelata, OK 74051 | 2018-09-24 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1366839029 | Kellye Parker | Pharmacist | 395200 W 2900 Rd, Ochelata, OK 74501 | 2015-04-21 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| 1619243888 | Amanda Bighorse | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2012-04-01 |
| Find all providers in OCHELATA | ||||
| 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 |
|---|---|---|---|---|
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRACY LYNE COQUILLETTE.
| 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.