ALICIA VICTORIA CERVANTES (NPI# 1215547393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215547393 |
| Entity Type | Individual |
| Full Name | ALICIA VICTORIA CERVANTES |
| Practice Address |
4400 N Lincoln Blvd Oklahoma City OK 73105-5108 |
| Practice Telephone | 4054247711 |
| Mailing Telephone | 4054247711 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 7385-P | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181463 | Alicia Cervantes | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410 | 2020-10-14 |
| Street Address |
4400 N LINCOLN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750359311 | Vincel Ray Cordry Jr. | Psychiatry & Neurology | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2006-03-09 |
| 1437759271 | Caroline Bothroyd | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-30 |
| 1982202701 | Megan Croisant | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-14 |
| 1871191908 | Mackenzie Rae Davis | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-12 |
| 1174121453 | Mariah Ivette Huston | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-09 |
| 1669089447 | German Gallardo | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-25 |
| 1316552631 | Bryce Aaron Tucker | Peer Specialist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-14 |
| 1053926469 | Amber Nichole Butler | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-09-11 |
| 1114530086 | Stephanie Michelle Sanderson | Peer Specialist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-08-28 |
| 1124630389 | Tammy Jo Brooks | Behavior Technician | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1942808555 | Lindsay Guthrie | Student in an Organized Health Care Education/Training Program | 8405 Nw 142nd St, Oklahoma City, OK 73142-7005 | 2020-10-15 |
| 1487251393 | Bradley Austin Heldmann | Student in an Organized Health Care Education/Training Program | 500 Central Park Dr Apt 805, Oklahoma City, OK 73105-1734 | 2020-10-04 |
| 1427665157 | Bennett Graham Oden | Student in an Organized Health Care Education/Training Program | 2912 Cummings Dr, Oklahoma City, OK 73107-2117 | 2020-09-27 |
| 1023624228 | Erik Willis | Student in an Organized Health Care Education/Training Program | 200 Ne 14th St Apt C6, Oklahoma City, OK 73104-1236 | 2020-09-22 |
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.