EDDIE L KNOX JR. (NPI# 1134635758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134635758 |
| Entity Type | Individual |
| Full Name | EDDIE L KNOX JR. |
| Practice Address |
138 S. Main Afton OK 74331-1822 |
| Practice Telephone | 9182574244 |
| Practice Fax Number | 9182574247 |
| Mailing Telephone | 9182574244 |
| Mailing Fax Number | 9182574247 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750832788 | Eddie Lee Knox IIi | Specialist/Technologist | 866 Simon Ive Dr, Lawrenceville, GA 30045-8537 | 2016-10-14 |
| Street Address |
138 S. MAIN |
| City | AFTON |
| State | OK |
| Zip Code | 74331-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920152 | Debra Maxton Miller | Counselor | 138 S. Main, Afton, OK 74331 | 2006-06-14 |
| 1548760705 | Jamey Andrew Olson | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2018-02-14 |
| 1518314749 | Jessica Green-wagnon | Registered Nurse | 138 S. Main, Afton, OK 74331-1822 | 2016-05-18 |
| 1740649862 | Angela Britt | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2016-02-17 |
| 1538533690 | Dawn Marie Deknight | Registered Nurse | 138 S. Main, Afton, OK 74331-1822 | 2015-11-30 |
| 1013394634 | Frankie Stewart | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2015-05-04 |
| 1114314168 | Kelli Coble | Counselor | 138 S. Main, Afton, OK 74331-1822 | 2015-04-16 |
| 1326443235 | Angie Hay | Peer Specialist | 138 S. Main, Afton, OK 74331 | 2014-11-04 |
| 1336550797 | Jennifer Osburn | Registered Nurse | 138 S. Main, Afton, OK 74331-1822 | 2014-05-19 |
| 1417270125 | Regina Lynn Harris | Counselor | 138 S. Main, Afton, OK 74331-1822 | 2010-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1578742383 | Chiropractic Associates of Miami | Clinic/Center | 30650 S. Lakeside Dr., Afton, OK 74331 | 2007-10-29 |
| 1174735088 | Integrity Emergency Medical Services of Oklahoma LLC | Ambulance | 104 Sw 1st Street, Afton, OK 74331 | 2007-05-04 |
| 1043371198 | Courtland Prentice Smith Jr. | Otolaryngology | 26300 South Hwy 125, Afton, OK 74331 | 2006-12-13 |
| 1639654429 | Sheena Nidiffer | Peer Specialist | 138 S. Main St, Afton, OK 74331 | 2018-09-27 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1730674508 | Caleigh Nichols | Social Worker | 138 S Main St, Afton, OK 74331 | 2018-06-25 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| 1043726607 | Rebecca Zinn | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-12-19 |
| Find all providers in zip 74331 | ||||
| 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 |
|---|---|---|---|---|
| 1104365428 | William Spencer York | Case Manager/Care Coordinator | 138 S Main Street, Afton, OK 74331-1822 | 2017-02-20 |
| 1588082978 | Sarah Miller | Case Manager/Care Coordinator | 138 S Main Ave, Afton, OK 74331-1822 | 2014-04-02 |
| 1932464328 | Leslie Figueroa | Case Manager/Care Coordinator | 453416 Canal St, Afton, OK 74331-5537 | 2012-07-11 |
| 1003184581 | Tiffany Reed | Case Manager/Care Coordinator | 31200 Blackwood Dr, Afton, OK 74331-8511 | 2011-12-12 |
| 1255635199 | Minde Julander | Case Manager/Care Coordinator | 144 E 5th Avenue, Afton, WY 83110 | 2011-01-07 |
| 1215260732 | Pamela Mcken | Case Manager/Care Coordinator | 138 E 7th, Afton, WY 83110 | 2009-09-16 |
| 1518290519 | Valerie Merritt Anglesey | Case Manager/Care Coordinator | 7020 Bitter Creek Rd, Afton, WY 83110-9723 | 2009-09-09 |
| 1285828384 | Christy Lynne Williamson | Case Manager/Care Coordinator | 221 Lincoln St, Afton, WY 83110 | 2007-08-31 |
| 1831381649 | Cindy R. White | Case Manager/Care Coordinator | 555 Madison Street, Afton, WY 83110 | 2007-08-15 |
| 1821501727 | Delphine Rossi Knowlton | Case Manager/Care Coordinator | Po Box 376, Afton, WY 83110-0376 | 2017-11-14 |
| Find all providers in AFTON | ||||
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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.