MR. ROBERTA DAYLE SMITH (NPI# 1194044214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194044214 |
| Entity Type | Individual |
| Full Name | MR. ROBERTA DAYLE SMITH |
| Credential | BHRS |
| Practice Address |
2024 W Broadway St Muskogee OK 74401-2758 |
| Mailing Address |
15598 N 493 Rd Tahlequah OK 74464-1095 |
| Practice Telephone | 9186829292 |
| Practice Fax Number | 9186820054 |
| Mailing Telephone | 9182076687 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |
| 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 |
|---|---|---|---|---|
| 1841774684 | Roberta Marie Smith | Social Worker | 738 King St, Franklin, MA 02038-2536 | 2018-09-18 |
| 1033317128 | Roberta Leigh Smith | Speech-Language Pathologist | 4900 Los Pinos Drive Hwy 15, Pino Altos, NM 88053 | 2007-07-10 |
| 1679789275 | Roberta A. Smith | Registered Nurse | 793 S Nixon Camp Rd, Oregonia, OH 45054-9780 | 2007-05-14 |
| 1487184123 | Roberta Jean Smith | Pedorthist | 801 Dolliver St, Pismo Beach, CA 93449-2503 | 2017-06-15 |
| 1710326186 | Roberta Smith | Occupational Therapist | 1020 N Union St, Middletown, PA 17057-2158 | 2013-06-19 |
| 1356688774 | Roberta Marie Smith | Social Worker | 114 Cary St, Cary, IL 60013-2706 | 2013-01-04 |
| 1013235662 | Roberta Henry Smith | Speech-Language Pathologist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2010-05-06 |
| 1134451404 | Roberta Ann Smith | Psychologist | 951 E 86th St, Executive North, Suite 140, Indianapolis, IN 46240-1849 | 2010-02-11 |
| 1316199714 | Roberta Marie Smith | Physician Assistant | 3801 Katella Ave, Suite 330, Los Alamitos, CA 90720-3338 | 2008-10-16 |
| 1912159781 | Roberta Smith | Registered Nurse | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2008-10-10 |
| Street Address |
2024 W BROADWAY ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540207 | J'dene Michelle Rogers | Psychologist | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2006-12-05 |
| 1245713734 | Osu Center for Health Sciences | Clinic/Center | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2018-09-11 |
| 1043530975 | Michael Reed | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-06-02 |
| 1699095521 | Nguyen Mary Lu | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-06-02 |
| 1881913911 | Kahlan Mouse | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1629397765 | Rebecca Geiger | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1093034134 | Mary Ann Nguyen | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1437478567 | Donald Levi Simms | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1649599770 | Chris Mabe | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1477760270 | Mary Hord | Social Worker | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
| 1205310661 | Loraine Grace Sisto-watson | Case Manager/Care Coordinator | 2019 E Okmulgee Ave, Muskogee, OK 74403-5841 | 2018-09-21 |
| 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 |
| Find all providers in MUSKOGEE | ||||
Please comment or provide details below to improve the information on MR. ROBERTA DAYLE SMITH.
| 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.