BRENT ERICKSON (NPI# 1215598438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215598438 |
| Entity Type | Individual |
| Full Name | BRENT ERICKSON |
| Practice Address |
502 E 4th St Claremore OK 74017-8436 |
| Practice Telephone | 9184049906 |
| Mailing Telephone | 9184049906 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845535 | Brent D. Erickson | Dentist | 859 Ne 7th St, Grants Pass, OR 97526-1634 | 2015-07-08 |
| 1295836567 | Brent Erickson | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-09-26 |
| Street Address |
502 E 4TH ST |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-8436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1639701295 | Mckenzie D Mowery | Peer Specialist | 1402 N Choctaw Pl, Claremore, OK 74017-3114 | 2020-02-11 |
| 1912554676 | Kathryn Kidd | Peer Specialist | 306 N Davis Ave, Claremore, OK 74017-3447 | 2019-08-19 |
| 1659923241 | Melissa Renee Collins | Peer Specialist | 8130 E Silverado Rd, Claremore, OK 74019-7517 | 2019-07-12 |
| 1699327270 | Jacalyn Honeywell | Peer Specialist | 2000 Frederick Rd Apt A11, Claremore, OK 74019-1440 | 2019-07-12 |
| 1093276438 | Aubrey Loti Loti | Peer Specialist | 9748 E 530 Rd, Claremore, OK 74019-0370 | 2019-03-28 |
| 1649748260 | Leah Michelle Dewhitt | Peer Specialist | 11880 Laurel Ln, Claremore, OK 74017-3436 | 2018-11-13 |
| 1700354503 | Tasonda Michelle Kirby | Peer Specialist | 25145 S 4130 Rd, Claremore, OK 74019-0249 | 2018-11-09 |
| 1265908495 | Kevin Chambers | Peer Specialist | 112 E 13th Pl, Claremore, OK 74017-4207 | 2018-10-15 |
| 1295245280 | Nigel J Reynolds | Peer Specialist | 17250 E 394 Rd, Claremore, OK 74017-2902 | 2017-10-04 |
| Find all providers in CLAREMORE | ||||
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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.