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VIVIAN TADLOCK
NPI 1659901874
Registered Nurse - Case Management in Prague, OK

Active since January 16, 2020
57533 MOCCASIN TRAIL RD, PRAGUE, OK 74864(405) 567-0054 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian Tadlock NPPES

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

VIVIAN TADLOCK (NPI 1659901874) is an individual case management provider in Prague, Oklahoma, licensed in Oklahoma (50524) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1659901874
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameVIVIAN TADLOCK
Location Address57533 MOCCASIN TRAIL RDPrague, OK 74864-1143
Mailing Address57533 Moccasin Trail RdPrague, OK 74864-1143 · (405) 567-0054
Phone(405) 567-0054
Sole ProprietorNo
Enumeration DateJanuary 16, 2020
✔ NPI 1659901874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in OK · 50524
57533 MOCCASIN TRAIL RD, Prague, OK 74864
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Other Providers at the Same Location NPPES 11

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

RAVEN WIND AYERS
Contractor
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
ANGEL PAULINE MARTINEZ-THORNTON RN
Registered Nurse
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
MRS. NORMA MCMURTRY RN
Registered Nurse
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
KAITLIN LEANN WEBB
Case Manager/Care Coordinator
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
BRANDY PELTS
Case Manager/Care Coordinator
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
DEMETRIA LAVONNA TRYON
Contractor
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
MS. RENEE NORTON BFA, BHRS
Rehabilitation Counselor
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054
YVONNE HAYES
Case Manager/Care Coordinator
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Lincoln County (405) 567-0054

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 Vivian Tadlock's NPI number?

The NPI number for Vivian Tadlock is 1659901874. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Vivian Tadlock located?

Vivian Tadlock practices at 57533 Moccasin Trail Rd, Prague, OK 74864. The listed phone number is (405) 567-0054.

What is Vivian Tadlock's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Vivian Tadlock was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.