Mattie Lynn Riley
Case Manager/Care Coordinator in Tishomingo, OK. Individual provider (NPI-1).
NPI number1407411978
StatusActive
Last updated in NPPESMay 20, 2019
Details
- NPI
- 1407411978
- Entity type
- Individual (NPI-1)
- Name
- Mattie Lynn Riley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2019
- Last updated
- May 20, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
108 W Main StTishomingo, OK 73460-1723
Phone 580-371-3019
Mailing address
108 W Main StTishomingo, OK 73460-1723
Phone 805-371-3019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Case Manager/Care Coordinator providers in Tishomingo · All 289 providers in Tishomingo
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