MRS. KATHLEEN JANE MADRON (NPI# 1174013767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174013767 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN JANE MADRON |
| Practice Address |
101 N Union Ave Shawnee OK 74801-7067 |
| Mailing Address |
35048 E 1130 Rd Earlsboro OK 74840 |
| Practice Telephone | 4052757100 |
| Practice Fax Number | 4052757105 |
| Mailing Telephone | 4054810172 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
101 N UNION AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437273026 | Rachel Jane Lam | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2007-03-19 |
| 1780285734 | Beth Cabe | Community Health Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-11-05 |
| 1124635719 | Andrew Jacob Whalen | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-09-28 |
| 1710592746 | Kyle Lane Stokes | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-09-15 |
| 1023656675 | Amanda Rose Gresham | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-12-13 |
| 1073159281 | Renee Lynn Garuccio | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-11-22 |
| 1720620446 | Alejandra Martinez | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-10-15 |
| 1194372003 | Hannah K Handy | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-08-26 |
| 1437701943 | Kimberly Ann Bradley | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-07-15 |
| 1790346641 | Shaya Leigh Harris | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1821600164 | Billy Ray Huff Jr. | Peer Specialist | 134 N Philadelphia Ave, Shawnee, OK 74801-7034 | 2020-08-18 |
| 1750905808 | John Howard Davis | Peer Specialist | 540 W Wallace St, Shawnee, OK 74801-5722 | 2020-06-04 |
| 1801345640 | James Franklin Smith Jr. | Peer Specialist | 1919 N Market Ave, Unit B, Shawnee, OK 74804-3644 | 2016-09-21 |
| 1891248605 | Andrea Scraper | Peer Specialist | 1310 Gordon Cooper Dr, Shawnee, OK 74801-8634 | 2016-07-28 |
| 1730706821 | Harrison Blake Hartzell | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2020-07-06 |
| 1083174353 | Tara Lynn Merritt | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-03-22 |
| 1093292856 | Lindsey Humphrey | Peer Specialist | 110 W 10th St, Shawnee, OK 74801-6804 | 2018-07-24 |
| 1568974228 | Watie Wells Jr. | Peer Specialist | 318 N Broadway Ave, Shawnee, OK 74801-6920 | 2017-11-02 |
| 1053831123 | Thomas Riggin Fleming | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2017-06-21 |
| 1417493214 | Carissa Menefee | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2017-01-17 |
| Find all providers in SHAWNEE | ||||
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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.