JACQUELYN E ANDERSON (NPI# 1285142877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285142877 |
Entity Type | Individual |
Full Name | JACQUELYN E ANDERSON |
Credential | RN CHPN |
Practice Address |
1011 Presidents Drive Warner OK 74469 |
Mailing Address |
Po Box 634 Warner OK 74469-0634 |
Practice Telephone | 9185772182 |
Mailing Telephone | 9185772182 |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 853333 | TX | Nursing Service Providers |
N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
90912 | OK | Nursing Service Providers |
Y | 163WH1000X |
Registered Nurse Specialization: Hospice |
90912 | OK | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891278149 | Jacquelyn Anderson | Case Manager/Care Coordinator | 325 Sw 28th St, Fort Lauderdale, FL 33315-2612 | 2018-09-12 |
1871975391 | Jacquelyn Anderson | Speech-Language Pathologist | 4560 South Blvd Ste 310, Virginia Beach, VA 23452-1160 | 2015-06-20 |
1982006375 | Jacquelyn Anderson | Dietitian, Registered | 2157 Main St, Buffalo, NY 14214-2648 | 2014-09-17 |
1033456363 | Jacquelyn Marie Anderson | Pharmacist | 6501 Loisdale Ct, 5th Floor, Springfield, VA 22150-1826 | 2013-01-07 |
Street Address |
1011 PRESIDENTS DRIVE |
City | WARNER |
State | OK |
Zip Code | 74469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982214292 | Tera Dee Robbins | Counselor | 1002 Cambell Street, Warner, OK 74469 | 2020-08-03 |
1902266521 | Audrie Payton Johnson | Case Manager/Care Coordinator | 1002 Cambell St., Warner, OK 74469 | 2016-02-24 |
1720465792 | Emily Crank | Case Manager/Care Coordinator | 1002 Cambell St, Warner, OK 74469 | 2015-04-29 |
1083057996 | Teresa Lynne Brown | Nurse Practitioner | 211 West Gentry Avenue, Mcintosh County Health Department, Checotah, OK 74469 | 2013-04-10 |
1770875510 | Kendall Jones | Social Worker | 1002 Campbell St., Warner, OK 74469 | 2011-05-12 |
1992814552 | Erin Renae Fields | Speech-Language Pathologist | 714 7th Ave, Warner, OK 74469 | 2006-08-29 |
1285164301 | Brandie Janae Center | Case Manager/Care Coordinator | 214 S 7th Ave, Warner, OK 74469 | 2017-06-13 |
1841233830 | Steven J. Salmon | Dentist | Hwy 64 East, Warner, OK 74469-0210 | 2006-06-14 |
1336252089 | Countryside Health Services, LLC | Nursing Facility/Intermediate Care Facility | Highway 64 East, Warner, OK 74469-0749 | 2006-08-16 |
1992732119 | Kimberly Dawn Durossette | Optometrist | 210 Hwy 2, Warner, OK 74469-0790 | 2006-06-26 |
Find all providers in zip 74469 |
Taxonomy Code | 163WH1000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Hospice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881047934 | Margala Ann Sell | Registered Nurse | 54800 W Highway 66, Stroud, OK 74079-6725 | 2016-07-13 |
1881107829 | A Premier Senior Home Care Acquisitions, LLC | Registered Nurse | 12121 E 51st St, Tulsa, OK 74146-6016 | 2017-11-13 |
1285147215 | A Premier Senior Home Care Acquisitions, LLC | Registered Nurse | 1408 W Elder Ave, Duncan, OK 73533-4022 | 2017-11-13 |
1316345325 | Teri Ratz | Registered Nurse | 12697 E 51st St, Tulsa, OK 74146-6236 | 2014-12-08 |
1780849380 | Marianne Matzo | Registered Nurse | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2008-07-23 |
Please comment or provide details below to improve the information on JACQUELYN E ANDERSON.
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.