MISS KIMBERLY W KANIATOBE (NPI# 1508087099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508087099 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY W KANIATOBE |
| Practice Address |
1308 Cradduck Rd Ada OK 74820 |
| Mailing Address |
P.o. Box 2311 Ada OK 74820 |
| Practice Telephone | 5803323699 |
| Practice Fax Number | 5804219828 |
| Mailing Telephone | 5809205149 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1308 CRADDUCK RD |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841311982 | Joni Marie Fowler | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-04-03 |
| 1306382155 | Sharon Clements | Behavior Technician | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2017-01-17 |
| 1396187316 | Jordan Bullock | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-07-18 |
| 1104264464 | Dee Ann Jones | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-06-10 |
| 1295077147 | Marissa Danielle Madden | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2013-03-19 |
| 1255604716 | Eva Christine Johnson | Counselor | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2012-02-14 |
| 1285949636 | Susan Dorothy Brecheen | Registered Nurse | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2010-08-10 |
| 1528263399 | Tera L Mccullar | Case Manager/Care Coordinator | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-06-20 |
| 1487875969 | Rachel D Houghland IIi | Student in an Organized Health Care Education/Training Program | 1308 Cradduck Rd, Ada, OK 74820 | 2007-05-01 |
| 1417172925 | Larson Dean Walton | Case Manager/Care Coordinator | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982064 | Rebecca Bruner | Case Manager/Care Coordinator | 15629 County Road 1510, Ada, OK 74820-4908 | 2020-08-11 |
| 1033733449 | Nneka Me'shell Uche | Case Manager/Care Coordinator | 1009 1st Pl, Ada, OK 74820-2027 | 2020-06-01 |
| 1255955894 | Raelyn Bennett | Case Manager/Care Coordinator | 314 S Broadway Ave Ste 116, Ada, OK 74820-5818 | 2020-05-29 |
| 1215559927 | Jennifer Gregory | Case Manager/Care Coordinator | 941 N Susan Ave, Ada, OK 74820-2623 | 2020-05-15 |
| 1972157485 | Kree Challa Lester | Case Manager/Care Coordinator | 13782 County Road 1556, Ada, OK 74820-3730 | 2019-08-01 |
| 1144883430 | Chekota Leeann Blakemore | Case Manager/Care Coordinator | 701 S Rennie St, Ada, OK 74820-7851 | 2019-04-22 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1275036766 | Joy Burris | Case Manager/Care Coordinator | Healthy Lifestyles, 3115 E. Arlington Blvd., Ada, OK 74820 | 2018-03-12 |
| 1841790995 | Charles Edward Moore II | Case Manager/Care Coordinator | 2024 Te Ata Drive, Ada, OK 74820 | 2018-02-15 |
| Find all providers in ADA | ||||
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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.