1. Home
  2. Directory
  3. Oklahoma
  4. Tishomingo
  5. Case Manager Care Coordinator
  6. NPI Profile

TAYLOR MONTANA WALLACE
NPI 1255165189
Case Manager/Care Coordinator in Tishomingo, OK

Active since September 02, 2024
602 E 24TH ST, TISHOMINGO, OK 73460(316) 312-2085 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taylor Montana Wallace NPPES

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

TAYLOR MONTANA WALLACE (NPI 1255165189) is an individual case manager/care coordinator provider in Tishomingo, Oklahoma and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1255165189
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTAYLOR MONTANA WALLACE
Location Address602 E 24TH STTishomingo, OK 73460-3245
Mailing Address36636 County Road 1700Stonewall, OK 74871-1200 · (316) 312-2085
Phone(316) 312-2085
Sole ProprietorYes
Enumeration DateSeptember 2, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1255165189 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.
602 E 24TH ST, Tishomingo, OK 73460
Open in Google Maps ↗

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 Taylor Wallace's NPI number?

The NPI number for Taylor Wallace is 1255165189. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Taylor Wallace located?

Taylor Wallace practices at 602 E 24th St, Tishomingo, OK 73460. The listed phone number is (316) 312-2085.

What is Taylor Wallace'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 Taylor Wallace was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.