MEDICARE: MRS. SAMANTHA KATE PRENTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1699496190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAMANTHA KATE PRENTICE

Provider Business Mailing Address
First Line	:	2463 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-8720
Country	:	US
Telephone Number	:	405-885-3739
Fax Number	:

Provider Business Practice Location Address
First Line	:	2463 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-8720
Country	:	US
Telephone Number	:	405-885-3739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	09/05/2022

Similar Medicare Providers

1538702576 — ACTIVE REHAB CLINIC
Practice Location Address:

8720 S PENNSYLVANIA AVE STE B
OKLAHOMA CITY, OK
73159-5237

Practice Phone: 405-209-0692
Practice Fax:

1508550880 — CANALI A NDALLE COTA/L
Practice Location Address:

8720 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK
73159-5237

Practice Phone: 405-436-5581
Practice Fax:

1356026629 — LYDIA BOSUNGMEH ACHIRI-NDALLE
Practice Location Address:

8720 S PENNSYLVANIA AVE STE B
OKLAHOMA CITY, OK
73159-5237

Practice Phone: 405-889-6273
Practice Fax:

1548326853 — MS. LISA R. ATTALES ENP
Practice Location Address:

8720 HIGHWAY 6 STE 400
MISSOURI CITY, TX
77459-7108

Practice Phone: 832-342-9204
Practice Fax: 281-895-3083

1174832117 — TAMIKA N LINDSEY FNP
Practice Location Address:

8720 HIGHWAY 6 , STE 400
MISSOURI CITY, TX
77459-7107

Practice Phone: 832-342-9204
Practice Fax:

1609118272 — NLUC PLLC
Practice Location Address:

8720 HIGHWAY 6 , SUITE 400
MISSOURI CITY, TX
77459-7107

Practice Phone: 281-201-0657
Practice Fax:

Directions to “ MRS. SAMANTHA KATE PRENTICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.