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SIMONE ANGELIQUE HARRISON
NPI 1396460994
Case Manager/Care Coordinator in Broken Arrow, OK

Active since October 05, 2022
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 382-7300 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Oct 5, 2022 (2 updates tracked since 2022).

About Simone Angelique Harrison NPPES

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

SIMONE ANGELIQUE HARRISON (NPI 1396460994) is an individual case manager/care coordinator provider in Broken Arrow, Oklahoma and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1396460994
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSIMONE ANGELIQUE HARRISON
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712
Phone(918) 382-7300
Sole ProprietorYes
Enumeration DateOctober 5, 2022
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1396460994 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.
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Names 1

Former Name (1)Simone Angelique Kinnison Kinnison

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.

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
WADE BAILEY POTTER
Counselor
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993

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 Simone Harrison's NPI number?

The NPI number for Simone Harrison is 1396460994. It was assigned to this individual provider in the NPPES registry on October 5, 2022. The provider is also known as Simone Angelique Kinnison Kinnison.

Where is Simone Harrison located?

Simone Harrison practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (918) 382-7300.

What is Simone Harrison'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 Simone Harrison was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.