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

Desiree Nicole Black

Individual provider Case Manager/Care Coordinator · NPI 1356111082

Desiree Nicole Black is a Case Manager/Care Coordinator in Catoosa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

19320 E Admiral Pl Ste B
Catoosa, OK 74015-3240
Phone: (918) 340-5503
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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 number1356111082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 3, 2024

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