JACINDA HANTAK (NPI# 1184166753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184166753 |
| Entity Type | Individual |
| Full Name | JACINDA HANTAK |
| Credential | APRN-CNP |
| Practice Address |
4400 Grant Blvd Yukon OK 73099-0037 |
| Practice Telephone | 4056034660 |
| Practice Fax Number | 4054703377 |
| Mailing Telephone | 4056034660 |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
96351 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4400 GRANT BLVD |
| City | YUKON |
| State | OK |
| Zip Code | 73099-0037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872369 | Apex Pharmacy | Pharmacy | 4400 Grant Blvd, Yukon, OK 73099-0037 | 2020-08-21 |
| 1154941078 | Total Optical LLC | Optometrist | 4400 Grant Blvd, Suite 106, Yukon, OK 73099 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480813 | Sunnia Johns | Nurse Practitioner | 10433 Fairfax Ln, Yukon, OK 73099-7505 | 2020-09-04 |
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1114540184 | Rhea Frans | Nurse Practitioner | 1205 Health Center Pkwy Ste 240b, Yukon, OK 73099-6396 | 2020-05-25 |
| 1679115703 | Shymol Aji John | Nurse Practitioner | 9304 Nw 134th Ter, Yukon, OK 73099-8580 | 2019-10-09 |
| 1891354973 | Jewelle Scott | Nurse Practitioner | 9937 Sw 23rd St, Yukon, OK 73099-5119 | 2019-06-11 |
| 1588227227 | Erin Mcbride | Nurse Practitioner | 11301 Valhalla Ln, Yukon, OK 73099-8735 | 2019-04-18 |
| 1538623251 | Holly Cox | Nurse Practitioner | 402 Marshall Hwy, Yukon, WV 24892-7053 | 2019-01-27 |
| 1154893030 | Ashley Marie Ruiz | Nurse Practitioner | 1312 Leigh Cir, Yukon, OK 73099-1072 | 2018-12-17 |
| 1952877409 | Ancy George | Nurse Practitioner | 10632 Nw 40th Ter, Yukon, OK 73099-3323 | 2018-10-22 |
| 1952809097 | Tara R Narvaiz | Nurse Practitioner | 2525 Cornwell Dr, Yukon, OK 73099-5807 | 2018-01-23 |
| Find all providers in YUKON | ||||
Please comment or provide details below to improve the information on JACINDA HANTAK.
| 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.