CANDYCE MARIE MEDLIN (NPI# 1275084907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275084907 |
| Entity Type | Individual |
| Full Name | CANDYCE MARIE MEDLIN |
| Credential | BA |
| Practice Address |
904 Nw 4th St Stigler OK 74462-1653 |
| Practice Telephone | 9189678223 |
| Mailing Telephone | 9189678223 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100733860B | 05 | |
| OK | 200507310A | 05 |
| Street Address |
904 NW 4TH ST |
| City | STIGLER |
| State | OK |
| Zip Code | 74462-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598971657 | Diana Kay Shores | Counselor | 904 Nw 4th St, Stigler, OK 74462-1653 | 2007-05-15 |
| 1063073989 | Taylor Nicole Wingo | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2019-06-21 |
| 1558920025 | Winter Apple | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2019-06-10 |
| 1245780592 | Regina Shumate | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-11 |
| 1073067344 | Melissa Reading | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-08-04 |
| 1255789178 | Addison Bailie Mcconnell | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-06-01 |
| 1598036501 | Debra A Campbell | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2012-01-23 |
| 1194033597 | Shannon Gail Roye Johnston | Counselor | 904 Nw 4th St, Stigler, OK 74462-1653 | 2010-09-20 |
| 1205167707 | Lisa Diane Trickett | Counselor | 904 Nw 4th St, Stigler, OK 74462 | 2010-01-22 |
| 1225246143 | Teri Dawn Starr | Social Worker | 904 Nw 4th St, Stigler, OK 74462-1653 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986879 | Amy Garman | Occupational Therapy Assistant | 392 W Brooken Mtn Rd, Stigler, OK 74462 | 2016-07-19 |
| 1528407624 | Thompson Hometown Eyecare LLC | Optometrist | 111 N. Broadway, Stigler, OK 74462 | 2013-06-21 |
| 1245579952 | United Partners Healthcare 2, Inc. | Home Health | 903 West Main Street, Stigler, OK 74462 | 2013-02-01 |
| 1164791745 | Teresa Lynn Lindsy | Psychologist | 208 N.e. 8th St, Stigler, OK 74462 | 2011-12-28 |
| 1700168994 | Counseling Services of Leflore County | Community/Behavioral Health | 605 E Main Street, Stigler, OK 74462 | 2011-09-13 |
| 1447561584 | Cah Acquisition Company 16 LLC | Clinic/Center | 901 Nw 6th Street, Stigler, OK 74462 | 2010-06-23 |
| 1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
| 1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
| 1346563707 | Jack N. Sellers Dds, P.C. | Dentist | 103 N.w. 9th Street, Stigler, OK 74462 | 2010-03-12 |
| 1538490842 | Michael R Clark | Chiropractor | 804 S.e. 3rd St., Stigler, OK 74462 | 2010-01-26 |
| Find all providers in zip 74462 | ||||
| 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 |
|---|---|---|---|---|
| 1699240143 | Brittany Dawn Goff | Case Manager/Care Coordinator | 1505 E Main St Unit A, Stigler, OK 74462-2914 | 2018-10-11 |
| 1952763906 | Stephanie Suzanne Quick | Case Manager/Care Coordinator | 10100 W County Road 1170, Stigler, OK 74462-2657 | 2016-03-28 |
| 1588961213 | Emily Lynnanne Wright | Case Manager/Care Coordinator | 1601 S City Lake Rd, Stigler, OK 74462-3113 | 2011-02-15 |
| 1598387607 | Traci Lee | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-12 |
| 1336761881 | Bailey A Upton | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-07 |
| 1720620917 | Billy Joe Dickson | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-09 |
| 1760024020 | Cassondra Jade Tidwell-basham | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1568004828 | Jaimie Kinslow | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1326680687 | Jessica Mcgrew | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| 1164064424 | Laycee Collins | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
| Find all providers in STIGLER | ||||
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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.