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ETHAN TIMOTHY BOLES
NPI 1437896370
Case Manager/Care Coordinator in Ada, OK

Active since May 12, 2022
1600 S BROADWAY AVE, ADA, OK 74820(580) 320-4182 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Timothy Boles NPPES

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

ETHAN TIMOTHY BOLES (NPI 1437896370) is an individual case manager/care coordinator provider in Ada, Oklahoma and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1437896370
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameETHAN TIMOTHY BOLES
Location Address1600 S BROADWAY AVEAda, OK 74820-8708
Mailing Address1600 S Broadway AveAda, OK 74820-8708 · (580) 320-4182
Phone(580) 320-4182
Sole ProprietorYes
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1437896370 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.
1600 S BROADWAY AVE, Ada, OK 74820
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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 Ethan Boles's NPI number?

The NPI number for Ethan Boles is 1437896370. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Ethan Boles located?

Ethan Boles practices at 1600 S Broadway Ave, Ada, OK 74820. The listed phone number is (580) 320-4182.

What is Ethan Boles'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 Ethan Boles was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.