JENNIFER AYCOCK (NPI# 1114482940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114482940 |
| Entity Type | Individual |
| Full Name | JENNIFER AYCOCK |
| Practice Address |
2325 S Harvard Ave Tulsa OK 74114-3300 |
| Practice Telephone | 9187124301 |
| Practice Fax Number | 9185601399 |
| Mailing Telephone | 9187124301 |
| Mailing Fax Number | 9185601399 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
80180 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2325 S HARVARD AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74114-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386608545 | David M Collins | Chiropractor | 2325 S Harvard Ave, Suite 108, Tulsa, OK 74114-3300 | 2006-04-14 |
| 1427659739 | Rashmi Singh | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-11-03 |
| 1003414145 | Kelsey Leigh Brittingham | Registered Nurse | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-10-12 |
| 1548868839 | Shawnee Fawn Flores-bernal | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-10-09 |
| 1285241539 | Shannon Renae Lucas | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-29 |
| 1427664838 | Hannah Schemmer | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-21 |
| 1467068346 | Daron Wright | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-16 |
| 1508470717 | Melody Yvonne Gill | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-04 |
| 1023621141 | Megan Tumy | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-08-28 |
| 1700497799 | Danielle Rae King | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265525166 | Toni Gatanis | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2006-10-02 |
| 1598786469 | Stephanie Ann Plummer | Nurse Practitioner | 10159 E 11th St Ste 100, Tulsa Va - Behavioral Medicine, Tulsa, OK 74128-3046 | 2006-07-23 |
| 1326684903 | Dachaunda Twynette Pete | Nurse Practitioner | 1055 S Houston Ave W, Tulsa, OK 74127-9014 | 2019-11-19 |
| 1407321672 | Anthony Jacob Yount | Nurse Practitioner | 10159 E 11th St, Tulsa, OK 74128-3058 | 2018-10-03 |
| 1285096909 | Michael Scammahorn | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2016-03-22 |
| 1558759159 | Stana Powell | Nurse Practitioner | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2015-01-05 |
| 1245646389 | Lisa Danielle Gale | Nurse Practitioner | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-07-09 |
| 1437563590 | James Eddie Laster | Nurse Practitioner | 6655 S Yale Ave, Tulsa, OK 74136-3326 | 2014-06-17 |
| 1730436668 | Emily Anne Moore | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2012-08-09 |
| 1366720229 | Rebecca Cline | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2011-07-26 |
| Find all providers in TULSA | ||||
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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.