SHANDI ALPHONSO


Address: 1219 N.w. 9th St., Okc, OK 73106
Phone: 4054488077

SHANDI ALPHONSO (NPI# 1245683929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245683929
Entity Type Individual
Full Name SHANDI ALPHONSO
Other Name SHANDI BARROW
Practice Address 1219 N.w. 9th St.
Okc
OK 73106
Mailing Address 1219 Nw 9th St
Oklahoma City
OK 73106-7009
Practice Telephone 4054488077
Mailing Telephone 4054488077
Enumeration Date 2016-07-19
Last Update Date 2016-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK SOONERCARE B23337391 01

Office Location

Street Address 1219 N.W. 9TH ST.
City OKC
State OK
Zip Code 73106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538625660 Symachia LLC Physician Assistant 115 N. Main St., Cashion, OK 73106 2019-02-13
1598290538 Eric T Manuel Counselor 1841 Nw 18th Street, Oklahoma City, OK 73106 2017-04-27
1679010516 Danny Lee Stone Peer Specialist 3010 N Mckinley Ave, Oklahoma City, OK 73106 2017-01-31
1033593173 Good Journey Hospice, LLC Hospice Care, Community Based 901 Nw 25th, Room 2, Oklahoma City, OK 73106 2015-07-18
1114317435 Savanah Brook Caddel Counselor 1251 Nw 25th St, Oklahoma City, OK 73106 2015-01-24
1619381084 Theressa Hall Case Manager/Care Coordinator 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 2014-06-13
1417376021 Christe Lyn Sweat Case Manager/Care Coordinator 900 Nw 10 Street, Oklahoma City, OK 73106 2014-04-10
1003169004 Jessica Stevie Schrameck Counselor 1017 Nw 6th St., Oklahoma City, OK 73106 2012-10-16
1841579166 Frances Bernice Pasternik Counselor 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 2011-08-04
1669775417 Garfield Doakes Jr. Behavioral Analyst 1330 N. Classen Bldv, Suite. 110, Oklahoma City, OK 73106 2010-12-17
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801300710 Kenneth Belyeu Peer Specialist 625 N Nebraska, Okc, OK 73117 2017-11-30
1972025336 Taylor Eversole Peer Specialist 6100 S Walker, Okc, OK 73139 2017-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972537 Tamra Lynn Cunningham Peer Specialist 764 Sherwin Ave, Ponca City, OK 74604-6112 2020-11-05
1699375691 Martha Isabel Zapata Peer Specialist 5740 E 72nd Ct, Tulsa, OK 74136-7202 2020-10-28
1376143883 Tina Marie Lopez Peer Specialist 933 N Oak St, Ponca City, OK 74601-3218 2020-10-26
1518566264 Vincent Oaks Cox Peer Specialist 3585 S 439, Pryor, OK 74361-9346 2020-10-23
1558960146 Sarah Elizabeth Walters Peer Specialist 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 2020-10-23
1861091548 Ryan Vanmeter Peer Specialist 1965 Ladera Ln, Edmond, OK 73034-9787 2020-10-22
1255930038 Brandon Loyd Hopkins Peer Specialist 446 S Scraper St, Vinita, OK 74301-4250 2020-10-22
1225637366 Crystal Dawn Adams Peer Specialist 200 N Sante Fe Ave, Bartlesville, OK 74003 2020-10-20
1194324491 Judith Anne Young Peer Specialist 3934 Se 27th St, Del City, OK 73115-2620 2020-10-19
1407455892 Kristen Michelle Stock Peer Specialist 804 N Dryden Cir, Stillwater, OK 74075-7108 2020-10-18
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Competitor

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City OKC
Zip Code 73106

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Dataset Information

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.

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