Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Ivy

Individual provider Case Manager/Care Coordinator · NPI 1497369573

Charles Ivy is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

4620 S Vandalia Ave
Tulsa, OK 74135-4715
Phone: (918) 565-7151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1497369573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address4620 S Vandalia Ave, Tulsa, OK 74135-4715

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