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MELISSA WALLACE
NPI 1366804064
Case Manager/Care Coordinator in Miami, OK

Active since March 22, 2016
111 S TREATY RD, MIAMI, OK 74354(918) 500-1511(918) 542-7374 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Wallace NPPES

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

MELISSA WALLACE (NPI 1366804064) is an individual case manager/care coordinator provider in Miami, Oklahoma and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1366804064
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMELISSA WALLACE
Location Address111 S TREATY RDMiami, OK 74354-5327
Mailing Address111 S Treaty RdMiami, OK 74354-5327 · (918) 500-1511 · Fax (918) 542-7374
Phone(918) 500-1511
Fax(918) 542-7374
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateApril 25, 2016
✔ NPI 1366804064 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.
111 S TREATY RD, Miami, OK 74354
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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.

NINA SHORT
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
JOHN KLENKE LPC-C
Counselor (Mental Health)
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 592-8614
BRANDON ALLAN MAPLES
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KASEY NICOLE KING
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 260-9546
CAROLINE JONES
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TIMOTHY HUNTER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KAREN LEE FEATHER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TERRY DEE ANN WILSON
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511

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 Melissa Wallace's NPI number?

The NPI number for Melissa Wallace is 1366804064. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Melissa Wallace located?

Melissa Wallace practices at 111 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 500-1511.

What is Melissa 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 Melissa Wallace was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.