INTEGRATED CARE PROFESSIONALS OF OKLAHOMA, LLC (NPI# 1245842848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245842848 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE PROFESSIONALS OF OKLAHOMA, LLC |
| Practice Address |
1831 E 71st St Ste 323 Tulsa OK 74136-3922 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 8554986767 |
| Practice Fax Number | 4799681673 |
| Mailing Telephone | 8554986767 |
| Mailing Fax Number | 4799681673 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | RODNEY THOMASON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5014066180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1831 E 71ST ST STE 323 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443959 | Brandy Dyer | Nurse Practitioner | 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811968977 | Veronica Lynn Wells | Clinical Nurse Specialist | 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 | 2006-01-27 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1356828594 | Andrea Diane Willibey | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1437670585 | Lauren E Stegemann | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-06-29 |
| 1043686868 | Kristin Mariah Pruitt | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2015-08-16 |
| 1376967299 | Lindsey Remmert | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2014-02-12 |
| 1093151169 | Lisa Kay Lee | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2013-05-16 |
| 1457618613 | Kristy Kay Martin | Clinical Nurse Specialist | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2012-04-12 |
| 1578834396 | Stephanie Moore | Clinical Nurse Specialist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2012-01-25 |
| Find all providers in TULSA | ||||
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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.