STACEY ANN ELLSWORTH (NPI# 1427321207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427321207 |
| Entity Type | Individual |
| Full Name | STACEY ANN ELLSWORTH |
| Practice Address |
6333 E Skelly Dr Tulsa OK 74135-6106 |
| Practice Telephone | 9186330325 |
| Mailing Telephone | 9186330325 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6333 E SKELLY DR |
| City | TULSA |
| State | OK |
| Zip Code | 74135-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317883 | 12 & 12, Inc. | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2005-06-27 |
| 1720685175 | Jesse Misthaven | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-07 |
| 1699372482 | Christine Reynold | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-05 |
| 1679185920 | Kacey Ann Cottrell | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-18 |
| 1861003931 | Matthew Schane | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-12 |
| 1841817368 | Bernadette Bouciquot | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-30 |
| 1568088011 | Brenda Kay Kuntzelman | Licensed Practical Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-21 |
| 1023634698 | Kelli Ann Ordorica | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-19 |
| 1215552120 | Amanda Lindsey Spicer | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-16 |
| 1619592672 | Tieraney Candice Rodriguez | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932522448 | Bethany Lusk | Technician, Other | 5126 S Trenton Ave, Tulsa, OK 74105-5717 | 2014-02-04 |
| 1598233264 | Kimberly Densmore | Technician, Other | 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 | 2018-11-10 |
| 1568847150 | Ivory V Payne | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2015-07-23 |
| 1700292679 | Laura Peiffer | Technician, Other | 2323 S Harvard Ave, Tulsa, OK 74114-3301 | 2014-07-10 |
| 1093158131 | Angela Yvonne Davis | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-04-08 |
| 1255673976 | Helen E Riggs | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-03-20 |
| 1790033355 | Michael Kerstan Kurz | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2012-08-29 |
| 1598050650 | James Beeman | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2011-06-16 |
| 1619962248 | Cliff Timmons | Technician, Other | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203897 | Rylea Anne Johnson | Technician, Other | 2240 36th Ave Nw Ste 100&110, Norman, OK 73072-3251 | 2020-01-03 |
| 1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
| 1487195376 | Pam Thurber | Technician, Other | 500 N Chincapin, Westville, OK 74965 | 2017-03-13 |
| 1912454075 | Mandi Faddis | Technician, Other | Rt 3 Box 2510, Stilwell, OK 74960 | 2016-09-07 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1134577570 | Misty Brown | Technician, Other | 500 West Chincapin, Westville, OK 74965 | 2016-05-26 |
| 1073960738 | Melanie Green | Technician, Other | 500 W Chincapin, Westville, OK 74965 | 2016-05-23 |
| 1497102149 | Dalaina Kristin Smart | Technician, Other | 500 W. Chincapin St., Westville, OK 74965 | 2016-05-23 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1659612281 | Bryan Henry Lafuente | Technician, Other | 229 Nw 9th St, Suite 1, Oklahoma City, OK 73102-2619 | 2013-03-06 |
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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.