MAKEDA GANT (NPI# 1003201039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003201039 |
| Entity Type | Individual |
| Full Name | MAKEDA GANT |
| Practice Address |
1129 S Aspen Ave Broken Arrow OK 74012-4859 |
| Mailing Address |
13600 E 86th St N Ste 100 Owasso OK 74055-8732 |
| Practice Telephone | 9187649300 |
| Practice Fax Number | 9187649275 |
| Mailing Telephone | 9182729313 |
| Mailing Fax Number | 9184036311 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
116446 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1129 S ASPEN AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578524963 | William Obrien | Internal Medicine | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2006-03-28 |
| 1093123101 | Melton Health and Medical Services | Counselor | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2014-08-01 |
| 1487074787 | Jessica Scott | Counselor | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2014-04-24 |
| 1245589365 | Jennifer Anne Regester | Social Worker | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2012-09-05 |
| 1386956217 | Tanith Elizabeth Garner | Social Worker | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2010-07-08 |
| 1134300049 | Melton Health and Medical Services | Clinic/Center | 1129 S Aspen Ave, Broken Arrow, OK 74012-4859 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453990 | Nina D Hayes | Nurse Practitioner | 1712 S Yellowood Ave, Broken Arrow, OK 74012-5937 | 2020-06-29 |
| 1982248100 | Rebekah Joy Presley | Nurse Practitioner | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 | 2019-10-31 |
| 1326690744 | Julette Sonia Thompson-wright | Nurse Practitioner | 2117 W Vail St, Broken Arrow, OK 74012-0239 | 2019-07-16 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1467979617 | Alicia Ann Nees | Nurse Practitioner | 2400 N Hemlock Cir Ste B, Broken Arrow, OK 74012-1175 | 2017-08-28 |
| 1790211795 | Justin Don Cole | Nurse Practitioner | 3325 S 204th East Ave, Broken Arrow, OK 74014-5165 | 2017-05-11 |
| 1780081380 | Jill Suzanne Renfro | Nurse Practitioner | 1801 East Kenosha Street, Broken Arrow, OK 74012 | 2014-11-25 |
| 1942603386 | Robert Earl Burson | Nurse Practitioner | 408 N Aster Ave, Broken Arrow, OK 74012-9447 | 2014-09-30 |
| 1700125986 | Jennifer Ann Martin | Nurse Practitioner | 9503 S 190th East Ave, Broken Arrow, OK 74012-7242 | 2013-02-07 |
| 1033182258 | Kristi Gene Sager | Nurse Practitioner | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2006-02-08 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on MAKEDA GANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.