SKYLAR SOUTHALL (NPI# 1306240395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306240395 |
Entity Type | Individual |
Full Name | SKYLAR SOUTHALL |
Practice Address |
11740 E 21st St Tulsa OK 74129-1820 |
Mailing Address |
650 S. Peoria Tulsa OK 74120-4429 |
Practice Telephone | 9185879471 |
Mailing Telephone | 9185879471 |
Mailing Fax Number | 9185601399 |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
11740 E 21ST ST |
City | TULSA |
State | OK |
Zip Code | 74129-1820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427190032 | Erica Nicol Campbell | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2007-02-12 |
1679107882 | Ngin Dot Cing | Specialist | 11740 E 21st St, Tulsa, OK 74129-1820 | 2020-02-26 |
1174153316 | Sonia Marie Krochak | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2020-01-15 |
1063052629 | Abigail Mohr | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2020-01-13 |
1306482542 | Krashelle Renae Cuffy | Counselor | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-11-22 |
1760025787 | China Lynn Bishop | Counselor | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-10-22 |
1114560349 | Shelby Hays Boaz | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-10-21 |
1174165658 | Kelsey Lynn Foster | Health Educator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-10-16 |
1134760127 | Samantha Mckay | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-10-01 |
1083264238 | Dawn M Martin | Counselor | 11740 E 21st St, Tulsa, OK 74129-1820 | 2019-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
1225575772 | Leisa Ann Bausch | Behavioral Analyst | 11740 E 21st, Tulsa, OK 74129 | 2017-01-23 |
1013980499 | Christie Anne Huffman | Dietitian, Registered | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-02-08 |
1821060716 | Bernard James Maguire Jr. | Pediatrics | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-02-03 |
1164494050 | Issam Mohammed El Halabi | Pediatrics | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-02-03 |
1467755371 | Dental Depot of Tulsa | Dentist | 2145 S Sheridan Rd, Tulsa, OK 74129-1001 | 2010-12-15 |
Find all providers in zip 74129 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972164960 | Amanda Shantel Myers | Social Worker | 1920 S Cincinnati Ave, Tulsa, OK 74119-5228 | 2019-06-21 |
1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
1851763403 | Tanya Cannady | Social Worker | 3101 W Edison St, Tulsa, OK 74127-6000 | 2015-10-22 |
1881072262 | Marlana Joy Brown | Social Worker | 4040 N Elgin Ave, Tulsa, OK 74106-1517 | 2015-05-18 |
1063828945 | Jasmine Porter | Social Worker | 733 E 53rd St N, Tulsa, OK 74126-2747 | 2014-07-10 |
1508497827 | Samantha Faulkner | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119-4208 | 2020-01-27 |
1710538624 | Zachary Osburn | Social Worker | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2019-09-23 |
1255721379 | Lakesha Willis | Social Worker | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2015-01-27 |
1043609936 | Sara Griffey | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2015-01-15 |
1871981324 | Alexis Yazel | Social Worker | 11740 E 21st St, Tulsa, OK 74129-1820 | 2015-01-07 |
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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.