MATTIE LYNN RILEY
NPI 1407411978
Case Manager/Care Coordinator in Tishomingo, OK

Q: What is Mattie Riley's NPI number?

The NPI number for Mattie Riley is 1407411978. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Mattie Riley'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 Mattie Riley was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 09, 2019

108 W MAIN ST, TISHOMINGO, OK 73460(580) 371-3019 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2019, May 13, 2019, May 9, 2019 (3 updates tracked since 2019).

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About Mattie Lynn Riley NPPES

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

MATTIE LYNN RILEY (NPI 1407411978) is an individual case manager/care coordinator provider in Tishomingo, Oklahoma and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1407411978

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMATTIE LYNN RILEY

Location Address108 W MAIN STTishomingo, OK 73460-1723

Mailing Address108 W Main StTishomingo, OK 73460-1723 · (805) 371-3019

Phone(580) 371-3019

Sole ProprietorNo

Enumeration DateMay 9, 2019

Last NPPES UpdateMay 20, 20193 updates tracked since enumeration

✔ NPI 1407411978 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.

108 W MAIN ST, Tishomingo, OK 73460

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Other Identifiers 2

Medicaid1881884807OK

Other1881884807OK · Business Npi

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN CIERRA KLEINERT

Case Manager/Care Coordinator