MEDICARE: MS. MAKIA MONIQUE MONTGOMERY

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		OK

General Provider Information

NPI Number	:	1477247419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAKIA MONIQUE MONTGOMERY

Provider Business Mailing Address
First Line	:	4753 S HARVARD AVE APT 28
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-3012
Country	:	US
Telephone Number	:	918-960-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	4753 S HARVARD AVE APT 28
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-3012
Country	:	US
Telephone Number	:	918-960-8422
Fax Number	:

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

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/07/2023

Similar Medicare Providers

1760480768 — LEISURE VILLAGE OPERATING LLC
Practice Location Address:

2154 S 85TH EAST AVE
TULSA, OK
74129-3012

Practice Phone: 918-622-4747
Practice Fax: 918-622-0304

1801828215 — MY BROTHERS KEEPER SERVICES UNLIMITED INC.
Practice Location Address:

2120 S 85TH EAST AVE
TULSA, OK
74129-3012

Practice Phone: 918-622-3800
Practice Fax: 918-622-1574

1578781357 — KRISTY DAWN WOOTEN PTA
Practice Location Address:

2154 S 85TH EAST AVE
TULSA, OK
74129-3012

Practice Phone: 918-622-4747
Practice Fax:

1336424746 — SHEILA MARIE BENJAMIN CTRS
Practice Location Address:

1033 E 37TH PL
TULSA, OK
74105-3012

Practice Phone: 918-809-5564
Practice Fax:

1083028856 — LEISURE VILLAGE HEALTH CARE
Practice Location Address:

2154 S 85TH EAST AVE
TULSA, OK
74129-3012

Practice Phone: 918-622-4747
Practice Fax: 918-622-0304

1992200554 — HAROLD DOUGLAS JENKINS RRT-ACCS
Practice Location Address:

3012 N TULSA DR
OKLAHOMA CITY, OK
73107-1328

Practice Phone: 209-735-1718
Practice Fax:

Directions to “ MS. MAKIA MONIQUE MONTGOMERY ” 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.