JEREMY PAUL ELLEDGE (NPI# 1457539975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457539975 |
| Entity Type | Individual |
| Full Name | JEREMY PAUL ELLEDGE |
| Practice Address |
932 N Flood Ave Norman OK 73069-7642 |
| Practice Telephone | 4053213719 |
| Practice Fax Number | 4053643209 |
| Mailing Telephone | 4053213719 |
| Mailing Fax Number | 4053643209 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
932 N FLOOD AVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-7642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255480505 | Jennifer Jean Ladd | Social Worker | 932 N Flood Ave, Norman, OK 73069 | 2007-01-09 |
| 1407088875 | Michelle Lee Shebester | Counselor | 932 N Flood Ave, Norman, OK 73069-7642 | 2009-08-18 |
| 1083855845 | Kirsten Ingeborg Kastl | Social Worker | 932 N Flood Ave, Norman, OK 73069-7642 | 2009-03-09 |
| 1548418510 | Carol Ann Jones | Counselor | 932 N Flood Ave, Norman, OK 73069-7642 | 2008-09-03 |
| 1831389923 | Jennifer Kelly Eckel | Counselor | 932 N Flood Ave, Norman, OK 73069-7642 | 2007-07-26 |
| 1730389321 | Jeffrey Franklin Stewart | Counselor | 932 N Flood Ave, Norman, OK 73069-7642 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1003460866 | Debra Petry Smith, M.a., Lpc | Counselor | 2500 Mcgee Dr Ste 108, Norman, OK 73072-6705 | 2019-07-30 |
| 1881197531 | Martecia Oates | Counselor | 101 Andover Dr Apt P8, Norman, OK 73071-2886 | 2018-03-08 |
| 1831600857 | Beatrice Waller | Counselor | 2500 Shoreline Dr, Norman, OK 73026-1319 | 2017-10-17 |
| 1720504608 | Megan Elise Cross | Counselor | 1604 Northcrest Dr, Norman, OK 73071-7415 | 2017-08-22 |
| 1437673472 | Omonigho A'shayla Omokhomion | Counselor | 201 Collier Dr Ste 600, Norman, OK 73069-5209 | 2017-08-01 |
| 1033658182 | Monica Pevehouse | Counselor | 4113 Mayfair Dr, Norman, OK 73072-2243 | 2017-02-21 |
| 1578014031 | Heritage Therapeutic Services | Counselor | 121 Collier Dr Ste 600, Norman, OK 73069-5279 | 2016-10-20 |
| 1609324037 | Edie Rasmussen | Counselor | 318 N Peters Ave, Norman, OK 73069-7245 | 2016-09-14 |
| 1356896112 | Shannon Murphy | Counselor | 112 W Frank St, Norman, OK 73069-7748 | 2016-08-22 |
| Find all providers in NORMAN | ||||
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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.