SHAUN NICKELSON
NPI 1487430849
Case Manager/Care Coordinator in Tulsa, OK

NPI Status: Active since September 01, 2023

Contact Information

6111 E SKELLY DR
TULSA, OK
ZIP 74135
Phone: (539) 593-4028

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  • Individual
  • Male
  • Case Manager/Care Coordinator

About SHAUN NICKELSON

This page provides the complete NPI Profile along with additional information for Shaun Nickelson, a provider established in Tulsa, Oklahoma with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1487430849 assigned on September 2023. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1487430849
Provider Name
SHAUN NICKELSON
Gender
Male
Entity Type
Individual
Location Address
6111 E SKELLY DR TULSA, OK 74135
Location Phone
(539) 593-4028
Mailing Address
6111 E SKELLY DR TULSA, OK 74135
Mailing Phone
(539) 593-4028
Is Sole Proprietor?
No
Enumeration Date
09-01-2023
Last Update Date
09-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487430849
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416783088
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 8 + 3 + 0 + 8 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1487430849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356048656GRAND LAKE MENTAL HEALTH CENTER, INC.
Organization
Community/Behavioral Health6111 E SKELLY DR
TULSA, OK 74135
(918) 664-4224
1871291187 ASHLEY ELIZABETH DEROMANIS
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(800) 680-8979
1679257158 KERI DORI HANNA LANSING
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(918) 779-7216
1750821138 ELIZABETH ANN TREVINO
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(918) 779-7216
1205611886 LEIGH ANGELA MILLER
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(918) 664-4224
1700665635 ASHLEY MICHELLE MCCOY
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(918) 510-4054
1982482857 ELIZABETH LORRAINE TAYLOR RN
Individual
Registered Nurse6111 E SKELLY DR
TULSA, OK 74135
(918) 508-3416
1043585367 MOLLY HEY
Individual
Counselor (Mental Health)6111 E SKELLY DR
TULSA, OK 74135
(918) 924-8435
1427839620 TIFFANY LOY FICHTENBERG
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(918) 510-4054
1548037856 ELNORA MALINDA BROWN
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(844) 458-2100
1063282747 SAMANTHIA SATCHELL
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(918) 273-1841
1770344863MRS. LORI LYNN MCGHEE RN
Individual
Registered Nurse6111 E SKELLY DR
TULSA, OK 74135
(918) 664-4224
1710749635 KYNDAL RAE MOCTEZUMA RN
Individual
Registered Nurse6111 E SKELLY DR
TULSA, OK 74135
(918) 779-7216
1528823309 ERIN ELIZABETH POULTER
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(800) 722-3611
1467219709 DARRYL WAYNE BOYNTON
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(918) 664-4224
1962623066 KIMBERLY HILL-CROWELL MSW
Individual
Social Worker (Clinical)6111 E SKELLY DR
TULSA, OK 74135
(844) 458-2100
1306502299 NICOLE TATE
Individual
Counselor (Mental Health)6111 E SKELLY DR
TULSA, OK 74135
(539) 240-0907
1386462067 DUSTIN JAMES HOOVER
Individual
Peer Specialist6111 E SKELLY DR
TULSA, OK 74135
(539) 242-3322
1063800803 MELISSA CRANE OTR/L
Individual
Occupational Therapist6111 E SKELLY DR
TULSA, OK 74135
(844) 458-2100
1265258578 RILEY CHANDLER SCHULER
Individual
Case Manager/Care Coordinator6111 E SKELLY DR
TULSA, OK 74135
(918) 779-7216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487430849, enumerated in the NPI registry as an "individual" on September 01, 2023

The provider is located at 6111 E Skelly Dr Tulsa, Ok 74135 and the phone number is (539) 593-4028

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on September 01, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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