KATIE JO STEPHENS GASTON (NPI# 1336771419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336771419 |
| Entity Type | Individual |
| Full Name | KATIE JO STEPHENS GASTON |
| Credential | APRN, WHNP-BC |
| Practice Address |
1500 E Downing St Ste 208 Tahlequah OK 74464-3234 |
| Mailing Address |
1117 Acacia Dr Anna TX 75409-5198 |
| Practice Telephone | 9184562496 |
| Practice Fax Number | 9184567108 |
| Mailing Telephone | 5809165827 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
839396 | TX | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1003514 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 E DOWNING ST STE 208 |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497746903 | Calvin P. Monroe | Obstetrics & Gynecology | 1500 E Downing St Ste 208, Tahlequah, OK 74464-3234 | 2005-11-03 |
| 1073924486 | Elissa Ann Delong | Nurse Practitioner | 1500 E Downing St Ste 208, Tahlequah, OK 74464 | 2014-05-20 |
| 1417117565 | Tschantre Eujeania Dorsett | Obstetrics & Gynecology | 1500 E Downing St Ste 208, Tahlequah, OK 74464 | 2008-06-12 |
| 1275540411 | Larry Lorenzo Mccullough | Obstetrics & Gynecology | 1500 E Downing St Ste 208, Tahlequah, OK 74464-3234 | 2006-08-01 |
| 1689648636 | Wallace Jackson Champlain | Obstetrics & Gynecology | 1500 E Downing St Ste 208, Tahlequah, OK 74464-3234 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654405 | Terri Amanda Pruitt | Nurse Practitioner | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2018-06-24 |
| 1073924486 | Elissa Ann Delong | Nurse Practitioner | 1500 E Downing St Ste 208, Tahlequah, OK 74464 | 2014-05-20 |
| 1659362861 | Bonnie Kay Warner | Nurse Practitioner | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729920 | Sheila Metzger | Nurse Practitioner | 2550 W Franklin Rd, Norman, OK 73069-8012 | 2020-01-17 |
| 1295380269 | Meisha Hall | Nurse Practitioner | 2508 W Huntsville St, Broken Arrow, OK 74011-6124 | 2019-08-07 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1437695715 | Erika Rumble | Nurse Practitioner | 10901 E 48th Street S, Tulsa, OK 74146-5830 | 2017-01-11 |
| 1083073365 | Kendra Seccombe | Nurse Practitioner | 161 Eco Friendly Dr, Suite 201, Muskogee, OK 74401-5100 | 2016-02-16 |
| 1710384870 | Melisa Dean | Nurse Practitioner | 700 S Telephone Rd Ste 401, Moore, OK 73160-2548 | 2014-12-04 |
| 1356766315 | Brianna Weathers | Nurse Practitioner | 401 W Tamarack Rd, Altus, OK 73521-1529 | 2014-02-27 |
| 1932473568 | Julie Claire Styles | Nurse Practitioner | 1540 N Lewis Ave, Tulsa, OK 74110-2535 | 2012-02-29 |
| 1376825596 | Jaclyn Danielle Maphies | Nurse Practitioner | 800 N.e. 10th Street, Suite 2100, Oklahoma City, OK 73104-5418 | 2011-09-14 |
| 1104124502 | Toby Lea Miller | Nurse Practitioner | 1603 W 9th Ave, Stillwater, OK 74074-5202 | 2011-03-09 |
| Find all providers with the same taxonomy | ||||
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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.