KILEY RENEAH BACHELDER (NPI# 1437525532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437525532 |
| Entity Type | Individual |
| Full Name | KILEY RENEAH BACHELDER |
| Credential | BS |
| Practice Address |
2 Wichersham Drive Mangum OK 73554 |
| Mailing Address |
1200 N Grant St Cordell OK 73632-2418 |
| Practice Telephone | 5807823337 |
| Mailing Telephone | 5806601362 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2 WICHERSHAM DRIVE |
| City | MANGUM |
| State | OK |
| Zip Code | 73554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1194295741 | Ez Sleep Solutions, Inc. | Dentist | 230 E. Jefferson, Mangum, OK 73554 | 2018-11-27 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1740640648 | Yco Tulsa, Inc. | Clinic/Center | 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 | 2016-03-04 |
| 1750748984 | Teryl Pearson | Counselor | 2 Wickersham Dr., New Hope Recovery Center, Mangum, OK 73554 | 2016-01-19 |
| 1376941732 | Dana Juarez | Marriage & Family Therapist | 2100 N Louis Tittle, Mangum, OK 73554 | 2014-12-16 |
| 1033388509 | Blackhawk Mangum, LLC | Clinic/Center | 118 South Louis Tittle, Mangum, OK 73554 | 2008-02-28 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1336356500 | Patrecia Ann Fite | Nurse Practitioner | 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 | 2007-05-17 |
| 1164501433 | Bradley Paul Banister | Pharmacist | 1000 S. Louis Tittle, Mangum, OK 73554 | 2006-11-06 |
| Find all providers in zip 73554 | ||||
| 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 |
|---|---|---|---|---|
| 1669944716 | Anthony Paco Carrier | Case Manager/Care Coordinator | 215 E Lincoln St, Mangum, OK 73554-4265 | 2018-12-28 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1891092151 | Mary Christine Elkouri | Case Manager/Care Coordinator | 229 W Pierce St, Mangum, OK 73554-4040 | 2011-02-23 |
| 1942732516 | Alexis Coreen Davis | Case Manager/Care Coordinator | 116 E Pierce St, Mangum, OK 73554-4295 | 2017-04-01 |
| 1558811612 | Deanna Darlene Martinez | Case Manager/Care Coordinator | 125 N Oklahoma Ave, Mangum, OK 73554-4279 | 2016-10-12 |
| 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 | ||||
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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.