MRS. SANDRA DENISE WINN (NPI# 1083197206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083197206 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA DENISE WINN |
| Credential | CFM |
| Practice Address |
64594 N 2514 Road Canton OK 73724 |
| Practice Telephone | 5128526376 |
| Mailing Telephone | 5128526376 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669513461 | Sandra K Winn | Obstetrics & Gynecology | 6011 E. Woodmen Rd, Ste 320, Colorado Springs, CO 80923 | 2007-02-12 |
| Street Address |
64594 N 2514 ROAD |
| City | CANTON |
| State | OK |
| Zip Code | 73724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
| 1609289453 | Susan Edsall | Pharmacist | 411 E Oak, Canton, OK 73724 | 2014-06-10 |
| 1023433299 | Beth Holderby Acre | Nurse Practitioner | 310 E. Walnut Street, Canton, OK 73724 | 2014-02-25 |
| 1396182069 | Rebecca Carol Johnson | Community Health Worker | 311 West Main St, Canton, OK 73724 | 2013-06-04 |
| 1700121498 | Sarah Anne Pierce | Behavioral Analyst | 311 W. Main, Canton, OK 73724 | 2012-12-06 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| 1932394236 | Yco Clinton, Inc. | Community/Behavioral Health | 311 West Main Street, Canton, OK 73724 | 2007-09-10 |
| 1134202187 | Thomas Drug Inc | Pharmacy | 212 W Main, Canton, OK 73724 | 2006-10-23 |
| 1427593409 | Great Salt Plains Health Center | Clinic/Center | 310 E. Walnut Street, Canton, OK 73724 | 2016-12-29 |
| 1760652788 | Bethany D'ann Armentrout | Counselor | 311 West Main Street, Canton, OK 73724 | 2008-03-05 |
| Find all providers in zip 73724 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194098715 | Martha L Cunningham | Mastectomy Fitter | 7924 Chouteau Spgs Cir Rd, Lexington, OK 73051-4800 | 2012-02-13 |
| 1053840850 | Maranda Lee Eaton | Mastectomy Fitter | 1904 Se Washington Blvd, Bartlesville, OK 74006 | 2017-06-06 |
| 1174050439 | Julia Patricia Murphy I | Mastectomy Fitter | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-17 |
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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.