KAITLYN COLLEEN HARRIS (NPI# 1093339442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093339442 |
| Entity Type | Individual |
| Full Name | KAITLYN COLLEEN HARRIS |
| Credential | BS |
| Practice Address |
1212 E Kirk St Hugo OK 74743-3607 |
| Mailing Address |
802 N J St Hugo OK 74743-2236 |
| Practice Telephone | 5803265279 |
| Mailing Telephone | 5803176850 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700210 | Kaitlyn Harris | Nurse Practitioner | 360 Merrimack St Ste 9, Lawrence, MA 01843-1764 | 2020-08-11 |
| 1356975122 | Kaitlyn Harris | Behavioral Analyst | 620 N Robinson Dr, Robinson, TX 76706-5312 | 2020-03-02 |
| 1619524360 | Kaitlyn Marie Harris | Occupational Therapist | 18 Broad Street, Johnson City, NY 13790 | 2019-08-19 |
| 1386146652 | Kaitlyn Harris | Behavioral Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-03-02 |
| Street Address |
1212 E KIRK ST |
| City | HUGO |
| State | OK |
| Zip Code | 74743-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916090 | Heather Eileen Fowler | Counselor | 1212 E Kirk St, Hugo, OK 74743-3607 | 2019-05-09 |
| 1801410576 | Christin Cheyenne Carlile | Case Manager/Care Coordinator | 1212 E Kirk St, Hugo, OK 74743-3607 | 2020-05-29 |
| 1174165070 | Winona Dawn Rickman | Case Manager/Care Coordinator | 1212 E Kirk St, Hugo, OK 74743-3607 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| 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 |
|---|---|---|---|---|
| 1447865563 | Bradley Ray Maxwell | Case Manager/Care Coordinator | 1301 E Jefferson St, Hugo, OK 74743-5217 | 2020-09-15 |
| 1770191827 | Christopher Shane Nassar | Case Manager/Care Coordinator | 1208 S 3rd St, Hugo, OK 74743-8604 | 2020-07-15 |
| 1063035871 | Stana Rae Self | Case Manager/Care Coordinator | 976 N 4268 Rd, Hugo, OK 74743-6945 | 2020-05-27 |
| 1578124327 | Nancy Jean Welch | Case Manager/Care Coordinator | 212 E. Duke, Hugo, OK 74743-7474 | 2019-06-24 |
| 1831569789 | Bethany Bruno | Case Manager/Care Coordinator | 948 N 4190 Rd, Hugo, OK 74743-1119 | 2015-10-05 |
| 1053744045 | Anna Michele Pence | Case Manager/Care Coordinator | 510 E Jefferson St, Hugo, OK 74743-4410 | 2013-08-14 |
| 1801410576 | Christin Cheyenne Carlile | Case Manager/Care Coordinator | 1212 E Kirk St, Hugo, OK 74743-3607 | 2020-05-29 |
| 1174165070 | Winona Dawn Rickman | Case Manager/Care Coordinator | 1212 E Kirk St, Hugo, OK 74743-3607 | 2019-10-11 |
| 1740839471 | Courtney Hamill | Case Manager/Care Coordinator | 101 W Jefferson St, Hugo, OK 74743-4421 | 2019-09-05 |
| 1497317408 | Na'koshia Yvette Coleman | Case Manager/Care Coordinator | 101 W Jefferson St, Hugo, OK 74743-4421 | 2019-07-01 |
| Find all providers in HUGO | ||||
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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.