MISS KELLY DIONE BUTLER (NPI# 1366744971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366744971 |
| Entity Type | Individual |
| Full Name | MISS KELLY DIONE BUTLER |
| Practice Address |
3621 N Kelley Ave Ste 100 Oklahoma City OK 73111-4520 |
| Mailing Address |
5757 W Hefner Rd Apt 1336 Oklahoma City OK 73162-5812 |
| Practice Telephone | 4055245525 |
| Practice Fax Number | 4055245528 |
| Mailing Telephone | 4052023942 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| 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 |
|---|---|---|---|---|
| 1720445018 | Kelly Butler | Physical Therapist | 319 Runnymede Ave, Jenkintown, PA 19046-2022 | 2016-01-18 |
| 1568750271 | Kelly Brooke Butler | Occupational Therapy Assistant | 3940 Lee Jackson Hwy, Greenville, VA 24440-1705 | 2011-07-14 |
| 1699953885 | Kelly Lynn Butler | Counselor | 307 Congress St, Portland, ME 04101-3638 | 2008-02-10 |
| 1639119969 | Kelly Ann Butler | Dentist | 11517 Pacific Ave S, Tacoma, WA 98444-5535 | 2006-06-07 |
| 1427669092 | Kelly Lee Butler | Behavior Technician | 3070 Riverside Dr Ste 200, Columbus, OH 43221-2547 | 2020-08-16 |
| 1538565718 | Kelly Butler | Specialist/Technologist | 1150 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-1174 | 2014-11-14 |
| 1386916120 | Kelly Jean Butler | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-02-08 |
| 1801179882 | Kelly Butler | Pharmacist | 5830 N Clinton St, Fort Wayne, IN 46825-5734 | 2011-09-26 |
| 1164623534 | Kelly A Butler | Pharmacist | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2007-05-31 |
| 1538160650 | Kelly Ann Butler | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2005-08-10 |
| Street Address |
3621 N KELLEY AVE STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609078880 | Joan Craft Johnson | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2007-06-01 |
| 1417561036 | Maria Elena Gracila Camargo | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2020-09-01 |
| 1497369102 | Jasmin Gonzalez | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2020-09-01 |
| 1164033973 | Tyler Bright | Case Manager/Care Coordinator | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2020-08-14 |
| 1053937789 | Alisha Diane Pickett | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2020-06-18 |
| 1255992608 | Johnna Miles | Case Manager/Care Coordinator | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2019-06-26 |
| 1598247785 | Artisha Woody | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2018-09-04 |
| 1366921777 | William White | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2018-08-08 |
| 1033604491 | Jacqueline Johnson | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2018-06-28 |
| 1558876581 | Sherita Dawn Gibson | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1689281180 | Michael Antem Abane | Case Manager/Care Coordinator | 11018 N May Ave Apt 218, Oklahoma City, OK 73120-6310 | 2020-09-28 |
| 1932715091 | Robyn Olukaikpe | Case Manager/Care Coordinator | 1736 Ne 14th St, Oklahoma City, OK 73117-3616 | 2020-09-23 |
| 1720694961 | Latasha Howell | Case Manager/Care Coordinator | 2416 Nw 12th St, Oklahoma City, OK 73107-5608 | 2020-09-22 |
| 1982218822 | Sybril Renee Jeffery | Case Manager/Care Coordinator | 8700 Sw 39th St, Oklahoma City, OK 73179-3878 | 2020-09-08 |
| 1871106096 | Harmonious Healing Counseling, LLC | Case Manager/Care Coordinator | 10802 Quail Plaza Dr Ste 205, Oklahoma City, OK 73120-3121 | 2020-08-27 |
| 1407466816 | Stephanie Denise Hollier | Case Manager/Care Coordinator | 1126 Nw 81st St, Oklahoma City, OK 73114-1811 | 2020-08-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
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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.