STEPHANIE MICHELLE SANDERSON (NPI# 1114530086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114530086 |
| Entity Type | Individual |
| Full Name | STEPHANIE MICHELLE SANDERSON |
| Other Name | STEPHANIE MICHELLE BURNETTE |
| Practice Address |
4400 N Lincoln Blvd Oklahoma City OK 73105-5104 |
| Practice Telephone | 4054247711 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641758 | Stephanie Sanderson | Counselor | 448 Saddletree Rd, Lumberton, NC 28360-9301 | 2015-02-09 |
| 1275852071 | Stephanie Anne Sanderson | Physician Assistant | 19500 Sandridge Way Ste 100, Lansdowne, VA 20176-3689 | 2010-05-19 |
| 1902870231 | Stephanie M Sanderson | Pediatrics | 1060 Peerless Xing, Nw #100, Peerless Pediatrics, Cleveland, TN 37312-3784 | 2006-02-14 |
| 1205477361 | Stephanie Sanderson | Nurse Practitioner | 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 | 2019-09-30 |
| 1194378448 | Stephanie Sanderson | Social Worker | 600 1st St Nw Ste 200, Albuquerque, NM 87102-2311 | 2019-07-16 |
| 1932689213 | Stephanie Sanderson | Physical Therapy Assistant | 500 W 3rd Ave Ste 6, Corsicana, TX 75110-4564 | 2018-08-16 |
| 1326173303 | Stephanie Rae Sanderson | Clinical Nurse Specialist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-02-22 |
| Street Address |
4400 N LINCOLN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750359311 | Vincel Ray Cordry Jr. | Psychiatry & Neurology | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2006-03-09 |
| 1437759271 | Caroline Bothroyd | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-30 |
| 1982202701 | Megan Croisant | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-14 |
| 1871191908 | Mackenzie Rae Davis | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-12 |
| 1174121453 | Mariah Ivette Huston | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-09 |
| 1669089447 | German Gallardo | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-25 |
| 1316552631 | Bryce Aaron Tucker | Peer Specialist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-14 |
| 1053926469 | Amber Nichole Butler | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-09-11 |
| 1124630389 | Tammy Jo Brooks | Behavior Technician | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-08-19 |
| 1992317317 | Tori Nicole Delgado | Counselor | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| 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 |
| 1104443977 | Jennifer Lynn Cobb | Peer Specialist | 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 | 2020-06-28 |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.