MRS. CHAN VANNARATH (NPI# 1225542905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225542905 |
| Entity Type | Individual |
| Full Name | MRS. CHAN VANNARATH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
13401 Three Oaks Dr Jones OK 73049-8539 |
| Practice Telephone | 4055958763 |
| Mailing Telephone | 4055958763 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
84017 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NURSE PRACTITIONER | 1879 | 01 |
| Street Address |
13401 THREE OAKS DR |
| City | JONES |
| State | OK |
| Zip Code | 73049-8539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735665 | Jones Family Dentistry Pllc | Clinic/Center | 12901 E. Britton Road, Jones, OK 73049 | 2018-10-04 |
| 1043699648 | Andrea Chavez | Counselor | 6750 N Choctaw Rd, Jones, OK 73049 | 2015-05-28 |
| 1205356383 | Rlm Pharmacy, LLC | Pharmacy | 101 W Main St, Jones, OK 73049 | 2017-06-21 |
| 1093859159 | Phillip Hal Abel | Pharmacist | 101 W Main Street, Jones, OK 73049 | 2007-02-20 |
| 1427159300 | Paula Lee Mckelvey | Occupational Therapist | 8111 Ne 129th St, Jones, OK 73049-3410 | 2006-09-26 |
| 1205927019 | Sarah Lawanda Mitchener | Occupational Therapist | 8501 Ne 129th St, Jones, OK 73049-3415 | 2006-09-27 |
| 1740516350 | Ellen Louise Hickerson | Dietitian, Registered | 7800 Bob White Trl, Jones, OK 73049-3424 | 2009-11-02 |
| 1336334325 | Julia Wilson | Physical Therapist | 15000 N Douglas Blvd, Jones, OK 73049-3447 | 2007-09-12 |
| 1740496330 | Hannelore Audrey Maria Hinds | Physician Assistant | 7450 N Henny Rd, Jones, OK 73049-6127 | 2007-05-14 |
| 1295746048 | Robert S Stramski | Nurse Practitioner | 12950 E Britton Rd, Suite 105, Jones, OK 73049-7400 | 2006-08-10 |
| Find all providers in zip 73049 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104610 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 9000 Nw 84th St, Yukon, OK 73099-8677 | 2020-11-07 |
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1235783325 | Julie Reid | Nurse Practitioner | 519 W South Park St, Broken Arrow, OK 74011-2435 | 2019-07-28 |
| 1316504012 | Malinda Kaye Reece | Nurse Practitioner | 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 | 2019-05-29 |
| 1235603606 | Lori Kimberly Scott | Nurse Practitioner | 4320 Avalon Ct, Oklahoma City, OK 73120-8175 | 2019-01-18 |
| 1093280349 | Christie Deloris Shelly | Nurse Practitioner | 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 | 2018-10-12 |
| 1285113274 | Millicent Olulade | Nurse Practitioner | 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 | 2018-08-09 |
| 1437648201 | Wendy Wilbur | Nurse Practitioner | 816 Crown Heights Ln, Purcell, OK 73080-9717 | 2018-05-07 |
| 1053787283 | Amanda Combs | Nurse Practitioner | 202 Beam Ln, Pocola, OK 74902-2463 | 2015-08-11 |
| 1104978360 | Maria Darlene Cordeiro | Nurse Practitioner | 10017 S Pennsylvania Ave, Oklahoma City, OK 73159-6919 | 2007-01-17 |
| 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.