MRS. DIANA LYNN STURDEVANT (NPI# 1023293891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023293891 |
Entity Type | Individual |
Full Name | MRS. DIANA LYNN STURDEVANT |
Credential | CNS |
Practice Address |
315 W Electric Ave Mcalester OK 74501-3600 |
Mailing Address |
Po Box 1117 Krebs OK 74554-1117 |
Practice Telephone | 9184234661 |
Mailing Telephone | 9184265610 |
Enumeration Date | 2007-12-29 |
Last Update Date | 2007-12-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R0062940 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
315 W ELECTRIC AVE |
City | MCALESTER |
State | OK |
Zip Code | 74501-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588704860 | Mitchell Manor Convalescent Home LLC | Nursing Facility/Intermediate Care Facility | 315 W Electric Ave, Mcalester, OK 74501-3600 | 2007-02-07 |
1568970929 | Opco Mm Mcalester, Ok, LLC | Skilled Nursing Facility | 315 W Electric Ave, Mcalester, OK 74501-3600 | 2018-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
Find all providers in zip 74501 |
Taxonomy Code | 364SG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609420736 | Connie I Ritze | Clinical Nurse Specialist | 3100 S Elm Pl Ste C, Broken Arrow, OK 74012-7950 | 2019-07-26 |
1427526953 | Karla Keepper | Clinical Nurse Specialist | 2506 W Quincy Cir, Broken Arrow, OK 74012-6227 | 2018-11-02 |
1578858189 | Joanna Tripp Ware | Clinical Nurse Specialist | 3011 N Union St, Ponca City, OK 74601-7400 | 2011-06-10 |
1851693683 | Jennifer G. Lamb | Clinical Nurse Specialist | 2706 S 109th East Ave, Tulsa, OK 74129-7634 | 2010-11-30 |
1962657775 | Taylor Elise Sartin | Clinical Nurse Specialist | 12445 S 18th Cir, Jenks, OK 74037-3663 | 2008-11-20 |
1912158957 | Carol Frances Stewart | Clinical Nurse Specialist | 2990 N. Sioux, Claremore, OK 74017-0000 | 2008-10-08 |
1790811941 | Joanne Louise Alderman | Clinical Nurse Specialist | 4252 E 24th Pl, Tulsa, OK 74114-3614 | 2007-02-24 |
1588263495 | Candyse Elizabeth Brewer | Clinical Nurse Specialist | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-10-21 |
1326678186 | Nelly Njaramba | Clinical Nurse Specialist | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-21 |
1588142988 | Brittni Kline | Clinical Nurse Specialist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2018-07-30 |
Find all providers with the same taxonomy |
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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.