TERICKA SMALL


Address: 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610
Phone: 5802845255

TERICKA SMALL (NPI# 1407416522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407416522
Entity Type Individual
Full Name TERICKA SMALL
Credential NP-C
Practice Address 5200 E I 240 Service Rd
Oklahoma City
OK 73135-2610
Mailing Address 11501 N Ann Arbor Ave
Oklahoma City
OK 73162-3735
Practice Telephone 5802845255
Mailing Telephone 5802845255
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG08180037 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5200 E I 240 SERVICE RD
City OKLAHOMA CITY
State OK
Zip Code 73135-2610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457311474 Mark D Olbert Radiology 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2006-03-24
1225642713 Catherine Eugenia Bardeaux Dietitian, Registered 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2020-09-02
1548881188 Mindy Erickson Speech-Language Pathologist 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 2020-05-06
1467937417 Angela Kristine Ama Nurse Practitioner 5200 E I 240 Service Rd, Oklahoma City, OK 73135 2018-09-26
1255816286 Kailee Ann Anderson Registered Nurse 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2018-09-25
1255790333 Mark D. Olbert M.d., Pllc Radiology 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2016-02-17
1356743991 Joseph A Andrezik, M.d., Pllc Radiology 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2014-09-25
1699064469 Vesna Kalanj Nurse Practitioner 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2011-04-01
1003127952 Ohh Physicians South, LLC Psychologist 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2010-06-25
1730215708 Chanda T Kersey Physician Assistant 5200 E I 240 Service Rd, Oklahoma Heart Hospital South Wound Care Center, Oklahoma City, OK 73135-2607 2007-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770182065 Ifeoluwa Ochuwa Idode Case Manager/Care Coordinator 8135 Bigwood Drive, Oklahoma City, OK 73135 2020-10-19
1295359248 Optimum Complete Care, Pllc Emergency Medicine 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 2020-06-05
1649802117 Everest Rehabilitation Hospital Okc, LLC Rehabilitation Hospital 7900 Midamerica Blvd, Oklahoma City, OK 73135 2020-02-12
1225592496 Crimson Spire Pharmacy Pharmacy 5600 S.e. 67 Str, Suite A, Okc, OK 73135 2019-01-22
1285174201 Yizhen Elizabeth Liu Student in an Organized Health Care Education/Training Program 1040, 7050 S Air Depot Blvd, Tinker Afb, OK 73135 2017-02-24
1891149647 Daniel Enriquez General Practice 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 2016-04-18
1215302641 Darryl English II Case Management 4328 S.e. 46th Street Apt#160, Oklahoma City, OK 73135 2015-12-10
1063838639 Charles Lloyd Wilson Hospitalist Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 2014-03-06
1669809877 Bodyworx Physical Therapy, Pllc Physical Therapist 5617 S. E. 67th Street, Oklahoma City, OK 73135 2013-10-02
1578815262 Kenyatta Lampley Behavioral Analyst 5712 Se 86th, Oklahoma City, OK 73135 2012-10-05
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316504012 Malinda Kaye Reece Nurse Practitioner 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 2019-05-29
1235603606 Lori Kimberly Scott Nurse Practitioner 4320 Avalon Ct, Oklahoma City, OK 73120-8175 2019-01-18
1285113274 Millicent Olulade Nurse Practitioner 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 2018-08-09
1104978360 Maria Darlene Cordeiro Nurse Practitioner 10017 S Pennsylvania Ave, Oklahoma City, OK 73159-6919 2007-01-17
1801439823 Joshua Seth Scott Nurse Practitioner 5224 E I 240 Service Rd Ste 303, Oklahoma City, OK 73135-2607 2019-10-22
1306233176 Amanda Spencer Nurse Practitioner 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2015-04-20
1063815546 Bart Burdick Nurse Practitioner 4334 Nw Expressway, Suite 175, Oklahoma City, OK 73116-1578 2014-09-29
1962812107 Jessica Mitchell Nurse Practitioner 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 2014-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972104610 Progressing Forward Medical and Mental Health Services LLC Nurse Practitioner 9000 Nw 84th St, Yukon, OK 73099-8677 2020-11-07
1265031819 Michelle Gaviola Nurse Practitioner 14867 Stoney Ridge Ln, Skiatook, OK 74070 2020-10-23
1235783325 Julie Reid Nurse Practitioner 519 W South Park St, Broken Arrow, OK 74011-2435 2019-07-28
1093280349 Christie Deloris Shelly Nurse Practitioner 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 2018-10-12
1437648201 Wendy Wilbur Nurse Practitioner 816 Crown Heights Ln, Purcell, OK 73080-9717 2018-05-07
1225542905 Chan Vannarath Nurse Practitioner 13401 Three Oaks Dr, Jones, OK 73049-8539 2017-11-17
1053787283 Amanda Combs Nurse Practitioner 202 Beam Ln, Pocola, OK 74902-2463 2015-08-11
1912092941 Joretta Warren Nurse Practitioner 3420 South Rankin, Edmond, OK 73013 2006-10-04
1235223769 Rick Dwiggins Nurse Practitioner 2520 South Rankin, Edmond, OK 73013 2006-10-02
1932139797 Marie Helen Mason Nurse Practitioner 201 48th Ave Sw, Norman, OK 73072-4902 2006-07-04
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Competitor

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City OKLAHOMA CITY
Zip Code 73135

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Dataset Information

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.

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