TARA LOU GLADDEN (NPI# 1407491798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407491798 |
| Entity Type | Individual |
| Full Name | TARA LOU GLADDEN |
| Practice Address |
14221 E 74th St Cushing OK 74023-6723 |
| Practice Telephone | 4056145470 |
| Mailing Telephone | 4056145470 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
14221 E 74TH ST |
| City | CUSHING |
| State | OK |
| Zip Code | 74023-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069654 | Laneta D Houston | Nurse's Aide | 1700 E Walnut, Cushing, OK 74023 | 2015-12-23 |
| 1306211024 | Deborah Denise Young | Speech-Language Pathologist | 316 N. Steele Ave, Cushing Upper Elementary, Cushing, OK 74023 | 2015-12-07 |
| 1821463647 | Ladawna Shawndrae Hollingshad | Nurse's Aide | 1405 E Moses, Cushing, OK 74023 | 2015-12-04 |
| 1932573094 | Margaret Marie King | Nurse's Aide | 1405 East Moses, Crushing, OK 74023 | 2015-11-30 |
| 1689056509 | Victoria Moran Nash | Counselor | 321 E. Main, Cushing, OK 74023 | 2015-06-27 |
| 1609140755 | Custom Dental of Cushing,pllc | Dentist | 3200 E. Main Street, Cushing, OK 74023 | 2012-03-06 |
| 1487957601 | World Wide Anesthesia Alliance | Nurse Anesthetist, Certified Registered | 2340 E Main, Cimarron Healthcare Center, Cushing, OK 74023 | 2010-12-09 |
| 1043520695 | Cheryl Kelly | Physical Therapist | 2809 E 9th St, Cushing, OK 74023 | 2010-10-18 |
| 1821279746 | Michael A Miller | Counselor | 100 S Jones, Cushing Valley Hope, Cushing, OK 74023 | 2007-11-20 |
| 1881763050 | Mays Drug Stores Inc | Pharmacy | 2110-o East Main, Cushing, OK 74023 | 2006-11-06 |
| Find all providers in zip 74023 | ||||
| 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 |
|---|---|---|---|---|
| 1043835150 | Macayla Elizabeth Mcintyre | Peer Specialist | 1028 E 6th St, Cushing, OK 74023-4520 | 2020-06-15 |
| 1548708399 | Recia D Treat-smith | Peer Specialist | 7321 N Mt Vernon, Cushing, OK 74023-6108 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| 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.