MYRA BESS MCKIDDY (NPI# 1174552095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174552095 |
| Entity Type | Individual |
| Full Name | MYRA BESS MCKIDDY |
| Credential | R.N. |
| Practice Address |
2307 South Gordon Cooper Drive Citizen Potawatomi Nation/firelake Wellness Center Shawnee OK 74801 |
| Mailing Address |
P.o. Box 218 Highway # 9 Tecumseh OK 74873-0218 |
| Practice Telephone | 4053959303 |
| Practice Fax Number | 4053959305 |
| Mailing Telephone | 4053959303 |
| Mailing Fax Number | 4053959305 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
48859 | OK | Nursing Service Providers |
| Street Address |
2307 SOUTH GORDON COOPER DRIVE CITIZEN POTAWATOMI NATION/FIRELAKE WELLNESS CENTER |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285711283 | Loretta M Miller | Registered Nurse | 2307 South Gordon Cooper Drive, Shawnee, OK 74801 | 2006-11-01 |
| 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 | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124262076 | Christopher Ryan Jolley | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2009-04-22 |
| 1730117995 | Kimberly Dawan Williams | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2006-06-28 |
| 1063449668 | Cynthia Schoolmeyer-peltier | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475799 | Cayla Mitchell | Registered Nurse | 310 N M St, Hugo, OK 74743-1852 | 2018-11-09 |
| 1922417674 | Brenda Davis | Registered Nurse | 105365 South Hwy 102, Mcloud, OK 74851 | 2014-08-07 |
| 1528478518 | Connie Marie Christy | Registered Nurse | 8083 County Road 1460, Ada, OK 74820-0554 | 2014-04-30 |
| 1053649582 | Daphne Dinsmore | Registered Nurse | 1265 S Utica Ave Ste 100, Tulsa, OK 74104-4243 | 2009-11-20 |
| 1356677157 | Joan Marie Mccleary | Registered Nurse | 1265 Utica Ave., Ste. 100n, Tulsa, OK 74104-4090 | 2009-10-29 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1154477057 | Marlene S Snow | Registered Nurse | 18433 Sierra Ln, Newalla, OK 74857-8449 | 2007-01-25 |
| 1700997913 | Diana Sue Feathers | Registered Nurse | 200 White Eagle Drive, Ponca City, OK 74601 | 2006-08-31 |
| 1538121389 | Kristi Renee Fleming | Registered Nurse | 2212 S Ironwood Ave, Broken Arrow, OK 74012-7653 | 2006-04-05 |
| 1295369247 | William Kelly Mckeever | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
| 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.