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Emmanuel Jackson-Bishop

Case Manager/Care Coordinator β€’ Okmulgee, OK

Active NPI 1932931409 Individual Practitioner Male Practitioner
Practice location in NPPES

417 East 3rd Street
Okmulgee, OK 74447

Call 9186364212 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

417 East 3rd Street

Okmulgee, OK 74447

Telephone 9186364212
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tulsa, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Okmulgee and Oklahoma

47 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Okmulgee, OK (8,838 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Okmulgee

0% of these 47 clinicians have the CMS telehealth indicator.

2.1% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-30
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OK 321122

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES OK TBD

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

108 N 48th West Ave

Tulsa, OK 741276319

Phone: 9186364212

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 30, 2025

Registered at 417 EAST 3RD STREET, OKMULGEE, OK 74447 (Tel: 9186364212)

πŸ“
Updated Business Mailing Address September 30, 2025

Registered at 417 E 3RD ST, OKMULGEE, OK 744474018 (Tel: 9186364212)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2025

Case Manager/Care Coordinator (license number reported to NPPES: OK 321122)

πŸ“
Updated Practice Location May 02, 2025

Registered at 108 N 48TH WEST AVE, TULSA, OK 741276319 (Tel: 9186364212)

πŸ“
Updated Business Mailing Address May 02, 2025

Registered at 108 N 48TH WEST AVE, TULSA, OK 741276319 (Tel: 9186364212)

βœ…
NPI Profile Active August 14, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2024

Registered at 6831 S PEORIA AVE, TULSA, OK 741363620 (Tel: 5395250715)

πŸ“
Business Mailing Address (Initial Record) August 14, 2024

Registered at 6831 S PEORIA AVE, TULSA, OK 741363620 (Tel: 5935250715)

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2024

Recorded as EMMANUEL JACKSON-BISHOP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Assistant Behavior Analyst (license number reported to NPPES: OK TBD)

🟒
Initial NPI Registration & Enumeration August 14, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932931409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2024
Last Update: September 30, 2025
Sole Proprietor: Yes

Mailing Address

417 E 3rd St

Okmulgee, OK 744474018

Phone: 9186364212

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.