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STACEY LANE
NPI 1164057584
Case Manager/Care Coordinator in Jay, OK

Active since March 05, 2020
1015 W WASHBOURNE ST, JAY, OK 74346(918) 308-5513 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Lane NPPES

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

STACEY LANE (NPI 1164057584) is an individual case manager/care coordinator provider in Jay, Oklahoma and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1164057584
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSTACEY LANE
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address1015 W WashbourneJay, OK 74346-4205
Phone(918) 308-5513
Sole ProprietorNo
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1164057584 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.
1015 W WASHBOURNE ST, Jay, OK 74346
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696

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 Stacey Lane's NPI number?

The NPI number for Stacey Lane is 1164057584. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Stacey Lane located?

Stacey Lane practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (918) 308-5513.

What is Stacey Lane'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 Stacey Lane was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.