MS. KATHY DARLENE THOMAS (NPI# 1104356690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104356690 |
| Entity Type | Individual |
| Full Name | MS. KATHY DARLENE THOMAS |
| Credential | REV |
| Practice Address |
4408 N 35th St Broken Arrow OK 74014-8845 |
| Practice Telephone | 9185196721 |
| Practice Fax Number | 9189407411 |
| Mailing Telephone | 9185196721 |
| Mailing Fax Number | 9189407411 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DRIVERS LICENSE | H082129486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801163837 | Kathy Ellen Thomas | Acupuncturist | 351 Plaza Dr., Eustis, FL 32726-3963 | 2011-11-18 |
| 1265743504 | Kathy Michele Thomas | Licensed Practical Nurse | 740 Auburn Ave, Radford, VA 24141-5005 | 2010-07-01 |
| 1083746085 | Kathy Maria Thomas | Counselor | 5553 Fremont Ave S, Minneapolis, MN 55419-1626 | 2007-03-12 |
| 1336299106 | Kathy Sue Thomas | Registered Nurse | 4150 Oakman St S, Salem, OR 97302-2733 | 2007-01-11 |
| 1730255985 | Kathy L Thomas | Registered Nurse | 3201 Atlanta Industrial Pkwy Suite 302, Center Hill Health Center, Atlanta, GA 30318 | 2006-11-28 |
| 1255369633 | Kathy Helpinstill Thomas | Psychologist | 2222 W 12th Ave, Stillwater, OK 74074-5154 | 2006-06-28 |
| 1417433889 | Kathy R Thomas | Counselor | 4875 Coplin St, Detroit, MI 48215-2192 | 2018-07-18 |
| 1396159026 | Kathy Beard Thomas | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-06-20 |
| 1962621011 | Kathy Thomas | Counselor | 6200 S Figueroa St, Los Angeles, CA 90003-1024 | 2007-04-25 |
| 1073737839 | Kathy Jo Thomas | Family Medicine | 415 N 85th St, Seattle, WA 98103-3701 | 2007-04-12 |
| Street Address |
4408 N 35TH ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-8845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| 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 |
|---|---|---|---|---|
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1790323392 | Chris Nikel Jr. | Peer Specialist | 4205 N Oak Ave, Broken Arrow, OK 74012-0748 | 2019-12-13 |
| 1417592130 | Donald Ray Helmer Jr. | Peer Specialist | 4116 S Maple Ave, Broken Arrow, OK 74011-2026 | 2019-11-18 |
| 1528623451 | Kristen Wayman | Peer Specialist | 104 W Gulfport St, Broken Arrow, OK 74011-5022 | 2019-05-06 |
| 1215498688 | Carol Lynn Canby | Peer Specialist | 2311 W Nashville Pl, Broken Arrow, OK 74012-4725 | 2019-03-28 |
| 1003375577 | Allen Spooner Braumiller IIi | Peer Specialist | 100 S 79th St, Broken Arrow, OK 74014-2726 | 2019-03-14 |
| 1952849028 | Deborah Mclaughlin | Peer Specialist | 112 N Main St, Broken Arrow, OK 74012-3937 | 2017-02-08 |
| 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 |
| 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 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
Please comment or provide details below to improve the information on MS. KATHY DARLENE THOMAS.
| 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.