CHIRY STREET (NPI# 1124648787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124648787 |
| Entity Type | Individual |
| Full Name | CHIRY STREET |
| Practice Address |
744 Se 25th St Oklahoma City OK 73129-4843 |
| Practice Telephone | 4056361463 |
| Mailing Telephone | 4056361463 |
| Mailing Fax Number | 4056358417 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3705 Overland Dr, Del City, OK 731152725 | 4059026923 |
| Street Address |
744 SE 25TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891871489 | Positive Changes LLC | Clinic/Center | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2006-10-27 |
| 1992230205 | Brittany Wynn | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2017-04-24 |
| 1790146934 | Heida Marie Peyton | Behavioral Analyst | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2016-03-16 |
| 1710347828 | Sarah Wolf | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2016-03-02 |
| 1912381641 | Savanah Reyes | Social Worker | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2015-07-13 |
| 1225417165 | Vanessa Fortune | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2015-05-26 |
| 1851778161 | Dwayne De Nolf | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2015-05-06 |
| 1366869463 | Erin Nicole Andrews | Social Worker | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2014-03-26 |
| 1871936989 | Danny Dean Mcfarlane | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2013-04-09 |
| 1477802510 | Jacquelyn Layton | Counselor | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2012-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1689281180 | Michael Antem Abane | Case Manager/Care Coordinator | 11018 N May Ave Apt 218, Oklahoma City, OK 73120-6310 | 2020-09-28 |
| 1932715091 | Robyn Olukaikpe | Case Manager/Care Coordinator | 1736 Ne 14th St, Oklahoma City, OK 73117-3616 | 2020-09-23 |
| 1720694961 | Latasha Howell | Case Manager/Care Coordinator | 2416 Nw 12th St, Oklahoma City, OK 73107-5608 | 2020-09-22 |
| 1982218822 | Sybril Renee Jeffery | Case Manager/Care Coordinator | 8700 Sw 39th St, Oklahoma City, OK 73179-3878 | 2020-09-08 |
| 1871106096 | Harmonious Healing Counseling, LLC | Case Manager/Care Coordinator | 10802 Quail Plaza Dr Ste 205, Oklahoma City, OK 73120-3121 | 2020-08-27 |
| 1407466816 | Stephanie Denise Hollier | Case Manager/Care Coordinator | 1126 Nw 81st St, Oklahoma City, OK 73114-1811 | 2020-08-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on CHIRY STREET.
| 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.