KELLY RAINWATER


Address: 53900 442nd Avenue, Talihina, OK 74571-1022
Phone: 9184135600

KELLY RAINWATER (NPI# 1205265238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205265238
Entity Type Individual
Full Name KELLY RAINWATER
Practice Address 53900 442nd Avenue
Talihina
OK 74571-1022
Mailing Address Po Box 1022
Talihina
OK 74571-1022
Practice Telephone 9184135600
Practice Fax Number 9185672382
Mailing Telephone 9184135600
Mailing Fax Number 9185672382
Enumeration Date 2013-11-12
Last Update Date 2013-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Other Providers KELLY RAINWATER

NPI Name Taxonomy Address Enumeration
1376562207 Kelly Price Rainwater Obstetrics & Gynecology 101 Johns Street, Suite 200, Florence, SC 29506-2716 2006-07-19

Office Location

Street Address 53900 442ND AVENUE
City TALIHINA
State OK
Zip Code 74571-1022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679033914 Megan Ann Louise Hall Peer Specialist 908 Dallas Street, Talihina, OK 74571 2019-03-22
1447736764 Harper Ranch & Enterprises LLC Nurse Practitioner 308 Second St., Talihina, OK 74571 2018-07-19
1588161004 Bailee Marie Mcconnell Peer Specialist 14476 Se 2022nd Rd, Talhina, OK 74571 2018-04-11
1932644002 Laura Ashley Sanford Family Medicine 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 2016-12-28
1003362583 Tammy Serena Adams Behavioral Analyst 903 Dallas Street, Talihina, OK 74571 2016-08-25
1356735963 Millennium Community Case Management 308 Veterans Street, Talihina, OK 74571 2015-03-20
1225449176 Millenium Case Management 308 Veterans Ave, Talihina, OK 74571 2014-05-14
1366881013 Tisha J Fitzgerald Counselor 508 Veterans, Talihina, OK 74571 2013-06-17
1295075406 Millennium Community Service Community/Behavioral Health 53565 Williams Ave., Talihina, OK 74571 2013-02-25
1649548413 Kimberly Stegall Counselor 501 Veterans Street, V, Talihina, OK 74571 2011-12-08
Find all providers in zip 74571

Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114355963 Sandra Kay Twaddle Psychologist 410 Veterans Ave, Talihina, OK 74571 2013-10-14
1407198138 John Allen Williams Psychologist 53565 Williams Ave., Talihina, OK 74571-0848 2013-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982006789 Jeffrey Johns Psychologist 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 2014-09-23
1659771996 Jessica Pendergraft Psychologist 615 Amy Dr, Waukomis, OK 73773-1033 2014-08-22
1205249349 Qiana Hawthorne Psychologist 104 Winter Wheat Dr, Guthrie, OK 73044-7750 2014-06-06
1962815902 Robbin Vanwinkle Psychologist 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 2014-06-06
1275946683 Silvia De Loera Psychologist 1416 Nw 126th St, Oklahoma City, OK 73120-5100 2014-06-04
1306256847 Jonelle Freeman Psychologist 336 E Beech Ave, Enid, OK 73701-1702 2014-05-06
1114337664 Katelyn James Psychologist 2020 Willow Run Ste 100, Enid, OK 73703-1421 2014-05-06
1043638760 Jana Darnall Psychologist 405 N Neshoba St, Tishomingo, OK 73460-1247 2014-03-31
1114344223 Jordan Harvey Psychologist 174 Daniels St, Healdton, OK 73438-1417 2014-03-26
1528489937 Malerie Guilbeau Psychologist 1009 N Birch Ave, Sand Springs, OK 74063-8901 2014-01-02
Find all providers with the same taxonomy

Competitor

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City TALIHINA
Zip Code 74571

Improve Information

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Dataset Information

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.

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