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PROF. CARLISSIA KELLEY
NPI 1730917642
Case Manager/Care Coordinator in Vinita, OK

Active since July 23, 2024
421 W SOUTH AVE, VINITA, OK 74301(918) 256-3131(918) 256-8507 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Carlissia Kelley NPPES

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

PROF. CARLISSIA KELLEY (NPI 1730917642) is an individual case manager/care coordinator provider in Vinita, Oklahoma and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1730917642
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NamePROF. CARLISSIA KELLEY
Location Address421 W SOUTH AVEVinita, OK 74301-4143
Mailing Address421 W South AveVinita, OK 74301-4143 · (918) 256-3131
Phone(918) 256-3131
Fax(918) 256-8507
Sole ProprietorYes
Enumeration DateJuly 23, 2024
NPPES CertifiedJune 9, 2024
✔ NPI 1730917642 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.
421 W SOUTH AVE, Vinita, OK 74301
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Other Providers at the Same Location NPPES 3

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

EDNA LEE'S, INC.
Assisted Living Facility
421 W SOUTH AVE
VINITA, OK 74301
Craig County (918) 256-3131
DONNA KELLEY
Case Manager/Care Coordinator
421 W SOUTH AVE
VINITA, OK 74301
Craig County (918) 256-3131
EDNA LEE'S RESIDENTIAL CARE
Skilled Nursing Facility
421 W SOUTH AVE
VINITA, OK 74301
Craig County (918) 256-3131

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 Carlissia Kelley's NPI number?

The NPI number for Carlissia Kelley is 1730917642. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Carlissia Kelley located?

Carlissia Kelley practices at 421 W South Ave, Vinita, OK 74301. The listed phone number is (918) 256-3131.

What is Carlissia Kelley'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 Carlissia Kelley was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.