KELLYN LARA
NPI 1306586672
Case Manager/Care Coordinator in Tulsa, OK

Q: What is Kellyn Lara's NPI number?

The NPI number for Kellyn Lara is 1306586672. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Kellyn Lara'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 Kellyn Lara was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2022

2121 S 125TH EAST AVE STE 106, TULSA, OK 74129(918) 574-8442(619) 374-7134 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kellyn Lara NPPES

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

KELLYN LARA (NPI 1306586672) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1306586672

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLYN LARA

Location Address2121 S 125TH EAST AVE STE 106Tulsa, OK 74129-5800

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134

Phone(918) 574-8442

Fax(619) 374-7134

Sole ProprietorNo

Enumeration DateApril 1, 2022

Last NPPES UpdateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1306586672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

2121 S 125TH EAST AVE STE 106, Tulsa, OK 74129

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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.

NOEL MAZZEI

Case Manager/Care Coordinator