MRS. ANGELA M ROSE (NPI# 1073619565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073619565 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA M ROSE |
| Credential | L.P.N |
| Practice Address |
2307 S Gordon Cooper Dr Shawnee OK 74801-9007 |
| Mailing Address |
Po Box 622 Newalla OK 74857-0622 |
| Practice Telephone | 4058784693 |
| Practice Fax Number | 4058784690 |
| Mailing Telephone | 4058784693 |
| Mailing Fax Number | 4058784690 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0050173 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790366 | Angela Rose | Counselor | 2901 Park Ave Ste B10, Soquel, CA 95073-2831 | 2014-08-07 |
| 1134498652 | Angela Myriah Rose | Nurse Practitioner | 28900 Sw Villebois Dr., Suite D, Wilsonville, OR 97070 | 2011-12-29 |
| 1336458801 | Angela Michelle Rose | Occupational Therapist | 1225 Glen Haven Ln, Batavia, OH 45103-1134 | 2010-10-01 |
| 1679965123 | Angela Rose | Counselor | 1501 Yarmouth Ave, Boulder, CO 80304-0564 | 2015-02-20 |
| 1033481684 | Angela J Rose | Nurse Practitioner | 1414 W Fair Ave, Suite 249, Marquette, MI 49855-2675 | 2012-01-28 |
| 1184804841 | Angela Finley Rose | Optometrist | 1635 Higdon Ferry Rd, Suite E, Hot Springs, AR 71913-6913 | 2007-11-10 |
| 1437105848 | Angela Marie Rose | Physician Assistant | 1500 E Medical Center Drive, B1 Floor University Hospital Recp F, Ann Arbor, MI 48109-2624 | 2006-05-26 |
| Street Address |
2307 S GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871571901 | Carrie Ann Wood | Internal Medicine | 2307 S Gordon Cooper Dr, Shawnee, OK 74801 | 2006-01-09 |
| 1952678518 | Dana Marie Kelley | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2011-11-28 |
| 1326348095 | Tina Louise Ferguson | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-10-28 |
| 1528375359 | Betty Jane Nicholson | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-08-31 |
| 1669786208 | Latisha Lynn Bader | Psychologist | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2010-08-05 |
| 1598954695 | Christia Ann Hallinan | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-10-15 |
| 1932396470 | Lielani M Tull | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-28 |
| 1962699884 | Samantha Rae Manion | Licensed Practical Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-25 |
| 1952597833 | Amanda Kaylene Felkner | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-24 |
| 1104012301 | Aubre Ann Reed | Clinic/Center | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851635445 | Melonie B Taylor | Licensed Practical Nurse | 5516 Caenen St, Shawnee, KS 66216-1923 | 2012-11-20 |
| 1851689723 | Amanda Mae Sims | Licensed Practical Nurse | 1300 Rickey Rd, Shawnee, OK 74801-5414 | 2011-07-13 |
| 1871100255 | Rachel Louise Clark | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2020-09-29 |
| 1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
| 1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
| 1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
| 1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
| 1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
| 1750848339 | Kinsey Hall | Licensed Practical Nurse | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-03-01 |
| 1427515568 | Markie Ryan Carlock | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-25 |
| Find all providers in SHAWNEE | ||||
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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.