COURTNEY WILDER (NPI# 1215462247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215462247 |
| Entity Type | Individual |
| Full Name | COURTNEY WILDER |
| Credential | WELLNESS COACH |
| Practice Address |
2816 E Jackson St Suite C Hugo OK 74743-4250 |
| Mailing Address |
107 S High St Antlers OK 74523-3818 |
| Practice Telephone | 5803265350 |
| Practice Fax Number | 5803265320 |
| Mailing Telephone | 5802982830 |
| Mailing Fax Number | 5802986723 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100744370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1437330453 | Courtney Leigh Wilder | Physical Therapist | 520 Highland Ter Ste A, Murfreesboro, TN 37130 | 2007-11-19 |
| Street Address |
2816 E JACKSON ST SUITE C |
| City | HUGO |
| State | OK |
| Zip Code | 74743-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011081 | Camelot Community Services of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-20 |
| 1982943379 | Julia Ann Mason | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-02-05 |
| 1316285430 | Olivia Jent | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-01-24 |
| 1457674475 | Kimberly R Anderson | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2010-03-04 |
| 1497919922 | Jennifer Dyer | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2008-07-14 |
| 1073775854 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2008-07-02 |
| 1801086236 | Kristianna Beddo | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2007-08-01 |
| 1336358134 | Heide Grant | Counselor | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2007-05-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1457415523 | Sequelcare of Oklahoma, LLC | Case Management | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255800314 | Marla C Parish | Health Educator | 212 Summit Crest Ln, Norman, OK 73071-4086 | 2018-11-19 |
| 1457858813 | Lea Caufield | Health Educator | Diabetes Care Center - Chickasaw Nation Medical Center, 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-04-11 |
| 1558869073 | Debra Ann Witt | Health Educator | 2929 E Randolph Ave Rm 130, Enid, OK 73701-4667 | 2018-01-30 |
| 1659879856 | Beth A Goetz | Health Educator | 1000 N Lincoln Blvd Ste 1308, Oklahoma City, OK 73104-3252 | 2018-01-23 |
| 1730626730 | Stephanie Ann Henry | Health Educator | 399990 W 3700 Rd, Ramona, OK 74061-2540 | 2017-01-27 |
| 1669914800 | Makenzie Rae Perryman | Health Educator | 256 Black Bird Ln, Ardmore, OK 73401-7430 | 2016-11-04 |
| 1568917235 | Nicole Fulmer | Health Educator | 4205 108th Ave Ne, Norman, OK 73026-6915 | 2016-08-23 |
| 1265808620 | Kelly Gould | Health Educator | 308 West Smiser, Calera, OK 74730-5006 | 2015-08-19 |
| 1720454101 | Danielle Pruitt | Health Educator | 308 West Smiser Street, Calera, OK 74730-0308 | 2015-08-19 |
| 1215313689 | Brittany Laure Barefield | Health Educator | 2610 Sam Noble Pkwy, Ardmore, OK 73401-2100 | 2015-08-07 |
| 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.