TARA JOHNSON (NPI# 1316557838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316557838 |
| Entity Type | Individual |
| Full Name | TARA JOHNSON |
| Practice Address |
602 Sw 38th St Lawton OK 73505-6912 |
| Practice Telephone | 5802485780 |
| Mailing Telephone | 5802485780 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883706 | Tara Demetria Johnson | Assisted Living Facility | 226 Abalone Rd Nw, Palm Bay, FL 32907-2964 | 2018-06-05 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1275045098 | Tara Johnson | Specialist | 702 Academy Ave Ste B, Dublin, GA 31021-4084 | 2017-11-02 |
| 1174079602 | Tara Johnson | Nurse Practitioner | 241 Varden Hill Dr, Birmingham, AL 35214-1945 | 2016-08-25 |
| 1427356781 | Tara Johnson | Case Manager/Care Coordinator | 137 Farnsworth Blvd, Soldotna, AK 99669-7601 | 2011-03-09 |
| 1902101405 | Tara Johnson | Licensed Practical Nurse | 4850 Wilson Burt Rd, Wilson, NY 14172-9654 | 2011-01-14 |
| 1982906111 | Tara Denise Johnson | Technician | 1749 E Fremont Rd, Phoenix, AZ 85042-5740 | 2010-11-19 |
| 1447899638 | Tara Lashay Johnson | Chiropractor | 3417 Shelby Ray Ct, Charleston, SC 29414-5895 | 2020-01-06 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| 1477046233 | Tara K Johnson | Occupational Therapist | 7055 Mexico Rd Unit 1601, Saint Peters, MO 63376-2344 | 2018-06-07 |
| Street Address |
602 SW 38TH ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512067 | Shirley Godfrey | Social Worker | 602 Sw 38th St, Lawton, OK 73505-6912 | 2005-07-20 |
| 1831796366 | Nijiah Johnson | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-10-07 |
| 1942807573 | Tameka Leshay Hawkins | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-10-06 |
| 1811504145 | Renee Sosebee | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180970 | Latricia Murphy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180996 | Mariah Dawkins | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1871100552 | Jessica Mccoy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-28 |
| 1356956155 | Whitney A Hicks | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-09 |
| 1841803327 | Jessi Barnett | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-08-25 |
| 1336767052 | Skyla Smith | Licensed Practical Nurse | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755812 | Tracy Marie Poafpybittty | Peer Specialist | 4904 Se Tattershall Way, Lawton, OK 73501-6400 | 2020-03-13 |
| 1932739935 | Paula Jean Cooper | Peer Specialist | 905 Sw 16th St, Lawton, OK 73501-4828 | 2020-01-19 |
| 1366072332 | Cheyenne Prettyflower Warner | Peer Specialist | 203 Sw 23rd Pl, Lawton, OK 73505-7125 | 2020-01-18 |
| 1699315408 | Ronald Dean Ramos I | Peer Specialist | 584 Nw Bingo Rd, Lawton, OK 73507-1214 | 2020-01-09 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1740639780 | Michael Alexander Watson | Peer Specialist | 6843 Nw Willow Springs Dr, 1211 Sw F Ave, Lawton, OK 73505-4251 | 2016-06-10 |
| 1821470410 | Rachel Marchbanks | Peer Specialist | 3606 Ne Willow Way, Lawton, OK 73507-4200 | 2015-06-19 |
| 1972995462 | Christian Lasiter | Peer Specialist | 1505 Sw 11th St Apt B4, Lawton, OK 73501-7376 | 2015-02-20 |
| 1811504145 | Renee Sosebee | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180970 | Latricia Murphy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| Find all providers in LAWTON | ||||
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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.