MRS. TRACIE MARIE MULLENDORE NPI 1154179307

NPI Information

  • NPI: 1154179307
  • Provider Name: MRS. TRACIE MARIE MULLENDORE
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Individual
  • Address: 26239 N COUNTY ROAD 3210
    WYNNEWOOD, OK
    ZIP 73098
  • Phone: (405) 207-4592

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NPI Details

MRS. Tracie Marie Mullendore is a case manager care coordinator in Wynnewood, OK. The provider is 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. MRS. Tracie Marie Mullendore NPI is 1154179307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26239 N COUNTY ROAD 3210
WYNNEWOOD, OK
ZIP 73098-205
Phone: (405) 207-4592

The enumeration date for this NPI number is 5/10/2024 and was last updated on 6/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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