MRS. OCTA EMERALD SHERIDAN (NPI# 1356813463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356813463 |
| Entity Type | Individual |
| Full Name | MRS. OCTA EMERALD SHERIDAN |
| Credential | RN |
| Practice Address |
101 S Moore Ave Claremore OK 74017-5091 |
| Practice Telephone | 4029812574 |
| Practice Fax Number | 9183426471 |
| Mailing Telephone | 4029812574 |
| Mailing Fax Number | 9183426471 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
58796 | NE | Nursing Service Providers |
| Street Address |
101 S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478251 | Jeneva Sue Arnold I | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2005-06-28 |
| 1063021483 | Jenilee Skidmore | Advanced Practice Midwife | 101 S Moore Ave, Claremore, OK 74017-5047 | 2020-07-31 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1750922704 | Laura Anne Blackwood | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-10-01 |
| 1801437868 | Victoria Lynn Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-10-01 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1417508003 | Jonathan Edward Martin | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-25 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121834 | Jennifer Lee Roberts | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-08-30 |
| 1407415854 | Autumn Lynn Mcguire | Registered Nurse | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251858 | Lauren Bunch | Registered Nurse | 3831a Moss Cir, Fort Sill, OK 73503-4595 | 2018-10-16 |
| 1609384395 | Julianne Nicole Malchow | Registered Nurse | 405 W Excelsior, Vinita, OK 74301-4226 | 2018-01-16 |
| 1033635321 | Sonja Gay Montgomery | Registered Nurse | 900 E. Main Street Building 200, Norman, OK 73070 | 2017-08-17 |
| 1568829646 | Rhonda Jan Simmons | Registered Nurse | 1109 Hawthorne Dr, Midwest City, OK 73110-7614 | 2016-01-21 |
| 1700277092 | Katherine Jill Maple | Registered Nurse | 506 Hwy 271 North, Antlers, OK 74523 | 2015-02-09 |
| 1588084750 | Melissa Morgan | Registered Nurse | 13033 Oak Hill Dr, Piedmont, OK 73078-9017 | 2014-04-25 |
| 1073944955 | Debra Mccain | Registered Nurse | 1525 E 10th St, Shawnee, OK 74801-7861 | 2013-12-03 |
| 1659702744 | Susan Diane Drucker | Registered Nurse | 309 Se 7th Cir, Moore, OK 73160-6717 | 2013-11-27 |
| 1699014720 | Bobbie Ann Nubine | Registered Nurse | 1008 Gulmor Dr, Edmond, OK 73034-2308 | 2013-02-08 |
| 1710145214 | Omega Plans LLC | Registered Nurse | 3324 Ozark Drive, Edmond, OK 73034 | 2008-05-30 |
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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.