MRS. TANYA M KECK-SMITH (NPI# 1063486280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063486280 |
| Entity Type | Individual |
| Full Name | MRS. TANYA M KECK-SMITH |
| Credential | PA-C |
| Practice Address |
5031 Sw 29th Street Access Medical Center Oklahoma City OK 73179 |
| Practice Telephone | 4055121093 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1834 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5031 SW 29TH STREET ACCESS MEDICAL CENTER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
| 1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
| 1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1588828826 | Kelly S. Beals, Inc. | Dietitian, Registered | 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | 2008-07-16 |
| 1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
| 1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
| 1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
| 1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
| 1649826033 | Beena Thomas | Nurse Practitioner | 3500 Walden Estates Dr, Oklahoma City, OK 73179-1410 | 2019-08-13 |
| Find all providers in zip 73179 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 1972042141 | Nathan Carl Kadavy | Physician Assistant | 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 | 2017-02-21 |
| 1487191946 | Neilee Wood | Physician Assistant | 8121 Nw 119th St, Oklahoma City, OK 73162-1110 | 2017-01-23 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1386016566 | D'amber Nicole Chambers | Physician Assistant | 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 | 2015-10-27 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1710380001 | Whitney Ward | Physician Assistant | 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 | 2014-10-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73179 |
Please comment or provide details below to improve the information on MRS. TANYA M KECK-SMITH.
| 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.