Individual ProviderKristi Lyn WhitakerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4444 E 41st St., Suite 1120, Tulsa, OK 74135(918) 660-3150PECOS EnrollmentBased on the most recent information from CMS, provider Kristi Lyn Whitaker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:02 PM.Profile DetailsProvider ID1164792040Provider TypeIndividualFull NameWhitaker, Kristi LynTitleMrs.CredentialBS,BHRS,CMIIGenderFemaleSole ProprietorNoEnumeration Date1/9/2012Last Updated7/7/2014Contact InformationPractice LocationPractice Address4444 E 41st St., Suite 1120, Tulsa, OK 74135Phone(918) 660-3150Fax(918) 660-3143Mailing LocationMailing Address4444 E 41st St., Suite 1120, Tulsa, OK 74135Phone(918) 660-3150Fax(918) 660-3143Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID200410110ADescriptionMedicaidIssuerUnlistedOklahoma