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MRS. TRACIE MARIE MULLENDORE
NPI 1154179307
Case Manager/Care Coordinator in Wynnewood, OK

Active since May 10, 2024
26239 N COUNTY ROAD 3210, WYNNEWOOD, OK 73098(405) 207-4592 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2024, May 10, 2024 (2 updates tracked since 2024).

About Mrs. Tracie Marie Mullendore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACIE MARIE MULLENDORE (NPI 1154179307) is an individual case manager/care coordinator provider in Wynnewood, Oklahoma and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1154179307
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. TRACIE MARIE MULLENDORE
Location Address26239 N COUNTY ROAD 3210Wynnewood, OK 73098-9205
Mailing Address26239 N County Road 3210Wynnewood, OK 73098-9205 · (405) 207-4592
Phone(405) 207-4592
Sole ProprietorNo
Enumeration DateMay 10, 2024
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1154179307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
26239 N COUNTY ROAD 3210, Wynnewood, OK 73098
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Mullendore's NPI number?

The NPI number for Tracie Mullendore is 1154179307. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Tracie Mullendore located?

Tracie Mullendore practices at 26239 N County Road 3210, Wynnewood, OK 73098. The listed phone number is (405) 207-4592.

What is Tracie Mullendore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tracie Mullendore was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.