KENDRISS LEIGH BROWN (NPI# 1043723174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043723174 |
| Entity Type | Individual |
| Full Name | KENDRISS LEIGH BROWN |
| Practice Address |
1107 N Broadway St Sayre OK 73662-1813 |
| Practice Telephone | 5809288881 |
| Practice Fax Number | 5809288892 |
| Mailing Telephone | 5809288881 |
| Mailing Fax Number | 5809288892 |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 E Grand Ave, Sayre, OK 736621917 | 5809283200 |
| Street Address |
1107 N BROADWAY ST |
| City | SAYRE |
| State | OK |
| Zip Code | 73662-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275883 | Kandace Lindsay | Peer Specialist | 501 E Grand, Sayre, OK 73662 | 2016-10-06 |
| 1124251624 | Katrina Lavern Hinds | Counselor | 501 E. Grand, Sayre, OK 73662 | 2009-08-31 |
| 1376762757 | K E Whinery Md PC | Family Medicine | 1505 North Watts, Sayre, OK 73662 | 2007-04-24 |
| 1093837767 | Sayre Health Care Inc | Skilled Nursing Facility | 1 Quarter Mile E of Court House, Sayre, OK 73662 | 2007-04-04 |
| 1174680482 | Dr. Brad Park Pllc | Chiropractor | 307 N.e. Hwy 66, Sayre, OK 73662 | 2007-01-03 |
| 1124104781 | Sonya` K Carlson | Pharmacist | 1601 N Watts St, Sayre, OK 73662 | 2006-10-27 |
| 1669558201 | Sam F Thornbrough | Pharmacist | 1601 N. Watts St., Sayre, OK 73662 | 2006-10-27 |
| 1417966284 | Roy Leaford Thornbrough | Dentist | 1605 North Watts Street, Sayre, OK 73662 | 2006-08-07 |
| 1346231826 | Sayre Public Schools | Public Health or Welfare | 716 Ne 66th St, Sayre, OK 73662 | 2005-11-02 |
| 1447247721 | Sayre Health Care | Nursing Care | 1/4 Mi E of Courthouse On Hwy 152, Sayre, OK 73662 | 2005-10-03 |
| Find all providers in zip 73662 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275883 | Kandace Lindsay | Peer Specialist | 501 E Grand, Sayre, OK 73662 | 2016-10-06 |
| 1801294459 | Cassandra Portwood-blurton | Peer Specialist | 501 E Grand Ave, Sayre, OK 73662-1907 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| 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.