MRS. BRENDA SUE SHAW-SMITH (NPI# 1295934347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295934347 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA SUE SHAW-SMITH |
| Credential | RN |
| Practice Address |
120 S Treaty Rd Miami OK 74354-5326 |
| Practice Telephone | 9185401511 |
| Practice Fax Number | 9185427374 |
| Mailing Telephone | 9185401511 |
| Mailing Fax Number | 9185427374 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R0074851 | OK | Nursing Service Providers |
| Street Address |
120 S TREATY RD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306854245 | Grand Lake Mental Health Center, Inc. | Case Management | 120 S Treaty Rd, Miami, OK 74354-5326 | 2006-08-04 |
| 1164769071 | Kylie Fischer | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-11 |
| 1518204817 | Mellisa Barnes | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-08 |
| 1053658351 | Jennifer Shobe | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-08 |
| 1013253111 | Phillip Horn | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-17 |
| 1578809778 | Angela Bond | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-17 |
| 1194060699 | Christi Young | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-10 |
| 1427306349 | Melanie Terneus | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-08-27 |
| 1548516321 | Phillip John Shyers Jr. | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-07-30 |
| 1366797698 | Derek Stapleton | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205301942 | Phoenix Rehab Center Corp | Registered Nurse | 8500 W Flagler St Ste 106, Miami, FL 33144-2063 | 2018-10-09 |
| 1952541112 | Janice R Fromm | Registered Nurse | 120 S Treaty Rd., Miami, OK 74354 | 2009-03-02 |
| 1629091533 | Sherry A Freeman | Registered Nurse | 2650 Biscayne Blvd, Miami, FL 33137-4531 | 2006-07-25 |
| 1386241602 | Lyn Paulo Juarez | Registered Nurse | 1201 Nw 16th St, Miami, FL 33125-1624 | 2020-10-09 |
| 1639714405 | Coastal Health Group, Inc | Registered Nurse | 7001 Sw 97th Ave Ste 206, Miami, FL 33173-1410 | 2019-11-15 |
| 1518428291 | Jennifer Elaine Hale | Registered Nurse | 801 Brickell Ave, Miami, FL 33131-2951 | 2019-03-26 |
| 1518442334 | Claudia Rivera | Registered Nurse | 10300 Sw 216th St, Miami, FL 33190 | 2018-09-27 |
| 1215413844 | Andres Isla Sanchez | Registered Nurse | 7200 Nw 7th St, Miami, FL 33126-2948 | 2018-07-17 |
| 1407365364 | Hilair Brice | Registered Nurse | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2017-09-22 |
| 1710375324 | Averette Joseph | Registered Nurse | 1695 Nw 9th Ave, Suite 1700, Miami, FL 33136-1409 | 2015-01-05 |
| Find all providers in MIAMI | ||||
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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.