LILY GRACE SOUTHERN
NPI 1447854260
Case Manager/Care Coordinator in Tahlequah, OK

Q: What is Lily Southern's NPI number?

The NPI number for Lily Southern is 1447854260. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Q: What is Lily Southern'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 Lily Southern was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 23, 2020

16414 W 760 RD, TAHLEQUAH, OK 74464(918) 708-9009 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lily Grace Southern NPPES

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

LILY GRACE SOUTHERN (NPI 1447854260) is an individual case manager/care coordinator provider in Tahlequah, Oklahoma and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1447854260

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLILY GRACE SOUTHERN

Location Address16414 W 760 RDTahlequah, OK 74464-1675

Mailing Address67612 S 260 RdWagoner, OK 74467-6250 · (918) 688-8801

Phone(918) 708-9009

Sole ProprietorNo

Enumeration DateNovember 23, 2020

NPPES CertifiedNovember 23, 2020

✔ NPI 1447854260 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.

16414 W 760 RD, Tahlequah, OK 74464

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Other Providers at the Same Location NPPES 18

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

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