JENNIFER LYNN COBB (NPI# 1104443977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104443977 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN COBB |
| Practice Address |
2400 General Pershing Blvd Apt 308 Oklahoma City OK 73107-6429 |
| Practice Telephone | 4059375923 |
| Mailing Telephone | 4059375923 |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1467682062 | Jennifer Gale Cobb | Social Worker | 422 Battleground Ave, Greensboro, NC 27401-2104 | 2009-07-17 |
| 1487128864 | Jennifer Cobb | Nurse Anesthetist, Certified Registered | 3690 Grandview Pkwy, Birmingham, AL 35243-3326 | 2019-01-18 |
| 1689145344 | Jennifer Cobb | Counselor | 5950 Fairview Rd Ste 306, Charlotte, NC 28210-3175 | 2018-12-06 |
| 1205360781 | Jennifer H Cobb | Nurse Practitioner | 2605 E Creeks Edge Dr, Bloomington, IN 47401 | 2017-04-12 |
| 1013373570 | Jennifer Cobb | Counselor | 111 W 15th St, Davenport, IA 52803-4609 | 2016-01-13 |
| 1811374911 | Jennifer Cobb | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-04-28 |
| 1871901389 | Jennifer Cobb | Adult Companion | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2014-07-28 |
| 1295146066 | Jennifer M Cobb | Physical Therapist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2014-05-15 |
| 1609075514 | Jennifer E Cobb | Physical Therapy Assistant | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-12 |
| Street Address |
2400 GENERAL PERSHING BLVD APT 308 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| 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 |
|---|---|---|---|---|
| 1861002818 | Keegan Eisenhardt | Peer Specialist | 6405 S Villa Ave, Oklahoma City, OK 73159-2741 | 2020-08-05 |
| 1689283780 | Gregory Purvis Jr. | Peer Specialist | 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 | 2020-07-24 |
| 1609485762 | Amanda Elaine Cruz | Peer Specialist | 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 | 2020-07-24 |
| 1063021384 | Christina Len Petty | Peer Specialist | 2144 Nw 29th St, Oklahoma City, OK 73107-2526 | 2020-07-23 |
| 1801412135 | Cleborn Gossett | Peer Specialist | 721 Waterview Rd, Oklahoma City, OK 73170-1637 | 2020-06-23 |
| 1487270617 | Foxy S Starnes | Peer Specialist | 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 | 2020-06-23 |
| 1154945582 | Alexandra Paige Mcgowan-rayburn | Peer Specialist | 4129 Nw 21st St, Oklahoma City, OK 73107-2607 | 2020-06-01 |
| 1962034504 | Crystal Rose Mckee | Peer Specialist | 3417 S Independence Ave, Oklahoma City, OK 73119-2617 | 2020-02-11 |
| 1508496662 | Brie Jordan Florence | Peer Specialist | 2640 Sw 95th St, Oklahoma City, OK 73159-6720 | 2020-01-16 |
| 1023652377 | Pamela Kristine Cavazos | Peer Specialist | 1116 Sw 128th St, Oklahoma City, OK 73170-6954 | 2019-10-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on JENNIFER LYNN COBB.
| 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.