Judith Lee Petitt
Case Manager/Care Coordinator in Miami, OK. Individual provider (NPI-1).
NPI number1669978433
StatusActive
Last updated in NPPESApr 2, 2018
Details
- NPI
- 1669978433
- Entity type
- Individual (NPI-1)
- Name
- Judith Lee Petitt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2018
- Last updated
- Apr 2, 2018
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
111 S Treaty RdMiami, OK 74354-5327
Phone 918-540-1511 · Fax 918-542-7374
Mailing address
111 S Treaty RdMiami, OK 74354-5327
Phone 918-540-1511 · Fax 918-542-7374
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 108 Case Manager/Care Coordinator providers in Miami · All 681 providers in Miami
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