MISTY TRENT (NPI# 1427535707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427535707 |
Entity Type | Individual |
Full Name | MISTY TRENT |
Credential | PRSS |
Practice Address |
107 S High St Antlers OK 74523-3818 |
Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
Practice Telephone | 5802982830 |
Practice Fax Number | 5802986723 |
Mailing Telephone | 5802982830 |
Mailing Fax Number | 5802986723 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | OK | Other Service Providers |
Street Address |
107 S HIGH ST |
City | ANTLERS |
State | OK |
Zip Code | 74523-3818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033165667 | Mfi Enterprises Dba Couseling Center of Se Oklahoma | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2006-05-25 |
1437644218 | Nikki Nichole Merker | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2018-06-25 |
1073007258 | Stephanie Hampton | Health Educator | 107 S High St, Antlers, OK 74523-3818 | 2018-06-20 |
1134627524 | Jasmine Amoni Dirks | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2018-01-31 |
1154839892 | Amanda Renee Mckitrick | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2018-01-16 |
1942715198 | Shanna Peretta Thompson | Specialist | 107 S High St, Antlers, OK 74523-3818 | 2017-12-11 |
1619412343 | Daryl Allen Mitchell | Social Worker | 107 S High St, Antlers, OK 74523-3818 | 2017-01-04 |
1831634203 | Desiree Meredith-menchaca | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2016-12-21 |
1124560610 | Deidra Dewitt I | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2016-11-15 |
1699229963 | Kacie Nix | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2016-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942793351 | Terry Jean Draper | Nurse Practitioner | 416020 E 1951 Rd, Antlers, OK 74523 | 2018-06-11 |
1134628456 | Breiana Jacobs | Case Manager/Care Coordinator | 107 South High St, Antlers, OK 74523 | 2018-02-02 |
1174072482 | Crossroads 1010 LLC | Community/Behavioral Health | 193908 Us Hwy 271, Antlers, OK 74523 | 2016-09-27 |
1700277092 | Katherine Jill Maple | Registered Nurse | 506 Hwy 271 North, Antlers, OK 74523 | 2015-02-09 |
1366884975 | Jessica L. Rowan | Speech-Language Pathologist | 426297 State Highway 3, Antlers, OK 74523 | 2013-07-24 |
1235432444 | Charis Kay Griffin | Psychologist | 903 West Main St., Antlers, OK 74523 | 2010-12-09 |
1629213889 | Hometown Quality Care, Inc | Home Health | 191475 N 4140 Rd Ste 3, Antlers, OK 74523 | 2008-12-02 |
1841491214 | Zen Gee Counseling & Psychological Serv LLC | Community/Behavioral Health | 608 Highway 271 North, Antlers, OK 74523 | 2007-05-31 |
1376689422 | Marcia Leigh Armstrong | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-01-29 |
1831247691 | Chance J Lawless | Dentist | 412 N Hwy 271, Antlers, OK 74523 | 2007-01-08 |
Find all providers in zip 74523 |
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 |
---|---|---|---|---|
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 |
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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.