MIRANNDA LEA SHOUREK (NPI# 1225548993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225548993 |
| Entity Type | Individual |
| Full Name | MIRANNDA LEA SHOUREK |
| Practice Address |
3225 E Randolph Apt 5a Enid OK 73701 |
| Mailing Address |
3225 E Randolph Ave Apt 5a Enid OK 73701-4603 |
| Practice Telephone | 5802318121 |
| Mailing Telephone | 5802318121 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OK | Other Service Providers |
| Street Address |
3225 E RANDOLPH APT 5A |
| City | ENID |
| State | OK |
| Zip Code | 73701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| 1588946545 | Tammy Sue Grantz | Counselor | 2925 N. Midway, Enid, OK 73701 | 2011-09-15 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894682 | Rhonda K Wilson | Case Manager/Care Coordinator | 1029 E Oklahoma Ave, Enid, OK 73701-6105 | 2020-09-08 |
| 1598387060 | Kallie D Jones | Case Manager/Care Coordinator | 4306 Oakcrest Ave, Enid, OK 73703-3503 | 2020-05-07 |
| 1861023467 | Katherine A Chambers | Case Manager/Care Coordinator | 6322 N Oakwood Rd, Enid, OK 73703-9346 | 2020-02-01 |
| 1477192482 | Kanani Jones | Case Manager/Care Coordinator | 4915 Ridgedale Dr, Enid, OK 73703-4602 | 2019-12-23 |
| 1164996567 | Desiree Nicole Fritz | Case Manager/Care Coordinator | 1502 Ritchie Ave, Enid, OK 73703-8021 | 2019-01-18 |
| 1558839852 | Caillie N Fitzpatrick | Case Manager/Care Coordinator | 505 S Harrison St, Enid, OK 73703-5825 | 2018-11-05 |
| 1487130563 | Marrissa Irene Rucker | Case Manager/Care Coordinator | 822 E Ash Ave, Enid, OK 73701-2308 | 2018-07-12 |
| 1811487689 | Kirsten Pierce | Case Manager/Care Coordinator | 2702 W Broadway Ave, Enid, OK 73703-5160 | 2018-05-16 |
| 1548757156 | Dana Kausek | Case Manager/Care Coordinator | 4601 S Boomer Rd, Enid, OK 73703-8102 | 2018-04-18 |
| 1760999213 | Takara Barba | Case Manager/Care Coordinator | 2804 N 6th St, Enid, OK 73701-1361 | 2018-01-05 |
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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.