NICOLE LYNETTE GORDON
NPI 1215516091
Case Manager/Care Coordinator in Tulsa, OK

Q: What is Nicole Gordon's NPI number?

The NPI number for Nicole Gordon is 1215516091. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Nicole Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Gordon was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 07, 2021

2442 MOHAWK BLVD, TULSA, OK 74110(918) 638-9228 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Lynette Gordon NPPES

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

NICOLE LYNETTE GORDON (NPI 1215516091) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1215516091

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameNICOLE LYNETTE GORDON

Location Address2442 MOHAWK BLVDTulsa, OK 74110-1519

Mailing Address10098 S. 241st E. Ave, Condo IBroken Arrow, OK 74014 · (918) 638-9228

Phone(918) 638-9228

Sole ProprietorNo

Enumeration DateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1215516091 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.

2442 MOHAWK BLVD, Tulsa, OK 74110

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