Healthcare Provider Details

I. General information

NPI: 1053195107
Provider Name (Legal Business Name): KRISTINA WRIGHT BSW SR BHCM II BHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINA CARRICO

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ALAMEDA ST
NORMAN OK
73071-5229
US

IV. Provider business mailing address

2325 KIMBALL DR
NORMAN OK
73071-2099
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-5100
  • Fax:
Mailing address:
  • Phone: 918-439-6359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: