SARA GRACE GIBSON (NPI# 1174120646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174120646 |
| Entity Type | Individual |
| Full Name | SARA GRACE GIBSON |
| Practice Address |
19320 E Admiral Pl Ste B Catoosa OK 74015-3240 |
| Mailing Address |
4318 S Trenton Ave Tulsa OK 74105-4130 |
| Practice Telephone | 9183405503 |
| Mailing Telephone | 5395251889 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| 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 |
|---|---|---|---|---|
| 1679007835 | Sara Gibson | Specialist | 3260 Wakefield Dr, Decatur, GA 30034-4554 | 2017-04-14 |
| 1104814524 | Sara Faith Gibson | Psychiatry & Neurology | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2005-10-10 |
| 1528600970 | Sara Rose Gibson | Optometrist | 800 N Green River Rd, Evansville, IN 47715-2471 | 2019-10-16 |
| 1053962456 | Sara R Gibson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-26 |
| 1033779418 | Sara Gibson | Case Manager/Care Coordinator | 113 W Convent St, Lafayette, LA 70501-6903 | 2019-06-18 |
| 1932694734 | Sara Gibson | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2018-06-25 |
| 1265821029 | Sara Phelps Gibson | Physical Therapist | 671 Alexian Way, Signal Mountain, TN 37377-1958 | 2015-01-16 |
| 1023438470 | Sara Gibson | Pediatrics | 605 Old Austin Hwy, Bastrop, TX 78602-5034 | 2014-04-24 |
| 1720408156 | Sara Jessica Gibson | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2014-04-24 |
| 1922431113 | Sara Gibson | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-08-12 |
| Street Address |
19320 E ADMIRAL PL STE B |
| City | CATOOSA |
| State | OK |
| Zip Code | 74015-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712316 | Creoks Mental Health Services | Clinic/Center | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-02-21 |
| 1649883885 | Alexis Esther Carter | Social Worker | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-08-27 |
| 1538787296 | Nicole R Monroe | Peer Specialist | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396584 | Betsy Hart | Technician | 312 Chief Stan Waite Drive, Catoosa, OK 74015 | 2019-10-01 |
| 1700314986 | Laura Vo | Dentist | 1875 N Old Hwy 66 Suite A, Catoosa, OK 74015 | 2017-05-31 |
| 1275909772 | Caitlin Bruder | Speech-Language Pathologist | 523 Chief Stan Waite, Catoosa, OK 74015 | 2015-08-19 |
| 1821485491 | Mednow Urgent Care Center LLC | Clinic/Center | 2036 S Miller Lane, Suite F, Catoosa, OK 74015 | 2015-04-22 |
| 1932458312 | Green Country Dental Arts of Catoosa | Dentist | 1755 N. Highway 66, Suite C, Catoosa, OK 74015 | 2012-08-31 |
| 1588936439 | Sandra Barnes Williams | Social Worker | 750 N Cherokee Street, Suite N, Catoosa, OK 74015 | 2012-02-07 |
| 1437274529 | Hac Inc | Pharmacy | 19302 East Admiral Blvd, Catoosa, OK 74015 | 2007-03-20 |
| 1316077829 | Nancy Ann Childress-murphy | Psychiatry & Neurology | 1755 State Hwy 66, Suite F, Catoosa, OK 74015 | 2007-03-06 |
| 1528140092 | Geoffrey Michael Sims | Dentist | 1875 North Highway 66, Unit A, Catoosa, OK 74015 | 2006-10-20 |
| 1992886063 | Catoosa Health Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 801 N. 193rd E. Ave., Catoosa, OK 74015 | 2006-10-17 |
| Find all providers in zip 74015 | ||||
| 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 |
|---|---|---|---|---|
| 1538787296 | Nicole R Monroe | Peer Specialist | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-07-09 |
| 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.