KELLI ANDERSON (NPI# 1508167578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508167578 |
| Entity Type | Individual |
| Full Name | KELLI ANDERSON |
| Practice Address |
619 N Main St Muskogee OK 74401-4431 |
| Practice Telephone | 9186828407 |
| Practice Fax Number | 9186870976 |
| Mailing Telephone | 9186828407 |
| Mailing Fax Number | 9186870976 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100734050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
| 1700239738 | Kelli Ann Anderson | Registered Nurse | 16367 5 Mile Hwy, Onaway, MI 49765-9389 | 2016-07-14 |
| 1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
| 1548739717 | Kelli Anderson | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2018-11-17 |
| 1033643036 | Kelli Anderson | Case Manager/Care Coordinator | 3020 18th St Ste 3, Columbus, NE 68601-4254 | 2017-04-17 |
| 1891069928 | Kelli Anderson | Counselor | 120 Maple St, Springfield, MA 01103-2203 | 2012-03-07 |
| 1841574027 | Kelli Anderson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-10-05 |
| 1740424647 | Kelli Anderson | Nurse Practitioner | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2009-04-23 |
| 1760682439 | Kelli Anderson | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-20 |
| 1992857775 | Kelli Christina Anderson | Specialist | 99 Kinderkamack Rd, Suite 112, Westwood, NJ 07675-3012 | 2007-01-18 |
| Street Address |
619 N MAIN ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1154936755 | Katelyn Davis Ryan | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-10 |
| 1316551815 | Jonathan D Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-02 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1124630173 | Nia Ashleigh Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-20 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1609486430 | Rebecca Nicole Smith | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-06 |
| 1336758416 | Quinton Ross IIi | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| 1851900914 | Shannan Marie Loman | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437581683 | New Pathways LLC | Community/Behavioral Health | 223 N 3rd #206, Muskogee, OK 74401-6609 | 2013-07-30 |
| 1780029793 | Integrity Pathways Inc | Community/Behavioral Health | 1805 N York St, Suite G, Muskogee, OK 74403-1404 | 2013-05-03 |
| 1821349960 | Counseling Works Inc. | Community/Behavioral Health | 1601 W Okmulgee St, Suite M, Muskogee, OK 74401-6749 | 2012-09-28 |
| 1396045092 | Song Byrd Behavioral Health, Inc | Community/Behavioral Health | 1700 W Broadway St, Muskogee, OK 74401-3340 | 2010-10-27 |
| 1902120264 | Green Country Behavioral Health Services, Inc. | Community/Behavioral Health | 619 N Main St, Muskogee, OK 74401-4431 | 2010-03-16 |
| 1467784397 | Green Country Behavioral Health Services | Community/Behavioral Health | 619 N Main St, Muskogee, OK 74401-4431 | 2010-02-03 |
| 1215173133 | Muskogee County Council of Youth Service | Community/Behavioral Health | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2008-12-23 |
| 1396990776 | Green Country Behavioral Health Services | Community/Behavioral Health | 619 N Main St, Muskogee, OK 74401-4431 | 2008-11-26 |
| 1215067103 | Green Country Behavioral Health Services, Inc. | Community/Behavioral Health | 619 N Main St, Muskogee, OK 74401-4431 | 2007-03-07 |
| 1467587642 | Green Country Behavioral Health Services, Inc. | Community/Behavioral Health | 301 N 6th St, Muskogee, OK 74401-6008 | 2007-02-21 |
| Find all providers in MUSKOGEE | ||||
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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.