TERICKA SMALL (NPI# 1407416522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG08180037 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5200 E I 240 SERVICE RD |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73135-2610 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 73135 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73135 |
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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.