AUGUSTA PENNINGTON (NPI# 1154943611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154943611 |
| Entity Type | Individual |
| Full Name | AUGUSTA PENNINGTON |
| Practice Address |
1101 E Monroe Ave Mcalester OK 74501-4815 |
| Mailing Address |
3301 N Robin St Mcalester OK 74501-2053 |
| Practice Telephone | 9184267800 |
| Mailing Telephone | 9189167705 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1101 E MONROE AVE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982666582 | Kim L Kurvink | Family Medicine | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2006-04-06 |
| 1194323212 | Martha Grantham | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-10-12 |
| 1932714334 | Nicole A Young | Peer Specialist | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-09-11 |
| 1871101675 | Anthony Campana | Peer Specialist | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-07-17 |
| 1861000721 | Amanda Harris | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-07-16 |
| 1801413729 | Robert Apala | Case Manager/Care Coordinator | 1101 E Monroe Ave, Mcalester, OK 74501-4826 | 2020-06-26 |
| 1083230080 | Morrison Kate Huffstutlar | Case Manager/Care Coordinator | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-06-25 |
| 1609496785 | Alana Mattioda | Registered Nurse | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-04-20 |
| 1356960645 | Brandi Kay Seawright | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-04-16 |
| 1306477633 | Jordin Fink | Licensed Practical Nurse | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1932714334 | Nicole A Young | Peer Specialist | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-09-11 |
| 1871101675 | Anthony Campana | Peer Specialist | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2020-07-17 |
| 1760986145 | Patrick H. Taber | Peer Specialist | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2018-03-21 |
| 1427413293 | Benjamin Keith Comley | Peer Specialist | 628 E Creek Ave, Mcalester, OK 74501-6930 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.