ROBBIE J MOLL (NPI# 1518503457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518503457 |
| Entity Type | Individual |
| Full Name | ROBBIE J MOLL |
| Practice Address |
325 S Ash St Nowata OK 74048-4628 |
| Practice Telephone | 9183316253 |
| Mailing Telephone | 9182737344 |
| Mailing Fax Number | 9189990111 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
325 S ASH ST |
| City | NOWATA |
| State | OK |
| Zip Code | 74048-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124230206 | Stephanie Redding | Counselor | 325 S Ash St, Nowata, OK 74048-4628 | 2007-05-03 |
| 1366052797 | Kelsey Lynn Ward | Case Manager/Care Coordinator | 325 S Ash St, Nowata, OK 74048-4628 | 2020-07-31 |
| 1871116533 | Taylor Arnett | Peer Specialist | 325 S Ash St, Nowata, OK 74048-4628 | 2020-05-28 |
| 1356972582 | Leah Bradley | Social Worker | 325 S Ash St, Nowata, OK 74048-4628 | 2020-01-27 |
| 1770123994 | Catalina A Norby | Case Manager/Care Coordinator | 325 S Ash St, Nowata, OK 74048-4628 | 2020-01-15 |
| 1003456948 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 325 S Ash St, Nowata, OK 74048-4628 | 2020-01-08 |
| 1740828276 | Otis Arthur Kimball | Case Manager/Care Coordinator | 325 S Ash St, Nowata, OK 74048-4628 | 2019-12-16 |
| 1871137711 | Celia Ann Simmons | Registered Nurse | 325 S Ash St, Nowata, OK 74048-4628 | 2019-11-04 |
| 1669016580 | Danielle Marie Coy | Social Worker | 325 S Ash St, Nowata, OK 74048-4628 | 2019-11-04 |
| 1265074082 | Shelly Bell | Case Manager/Care Coordinator | 325 S Ash St, Nowata, OK 74048 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647142 | Lacey Catherine Woolman | Case Manager/Care Coordinator | 114 W. Deleware Ave, Nowata, OK 74048 | 2020-07-27 |
| 1891261095 | Kristina E Edens | Counselor | 114 W Deleware, Nowata, OK 74048 | 2018-10-16 |
| 1497247142 | Dustin James Lang | Counselor | 111 W Deleware, Nowata, OK 74048 | 2018-05-30 |
| 1679011928 | Melanie Jane Cline | Counselor | 114 West Delaware, Nowata, OK 74048 | 2017-02-07 |
| 1063955276 | Rebecca A Kidwell | Registered Nurse | 1024 Lenape Drive, Nowata, OK 74048 | 2016-11-21 |
| 1477724912 | City of Nowata Medical Trust Authority | Ambulance | 425 S. Cedar, Nowata, OK 74048 | 2008-03-12 |
| 1023238235 | Charles F Danley | Counselor | 114 W Delaware, Nowata, OK 74048 | 2007-04-27 |
| 1730221177 | Robert Bruce Rickards | Dentist | 117 W Delaware Ave, Nowata, OK 74048 | 2007-02-13 |
| 1023156791 | Debra Keith | Physician Assistant | 237 S Locust, Nowata, OK 74048 | 2007-02-02 |
| 1942390406 | Harold Lowell Meister | Optometrist | 111 North Maple Street, Nowata, OK 74048 | 2006-10-13 |
| Find all providers in zip 74048 | ||||
| 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 |
|---|---|---|---|---|
| 1871116533 | Taylor Arnett | Peer Specialist | 325 S Ash St, Nowata, OK 74048-4628 | 2020-05-28 |
| 1134740871 | Christina Wright | Peer Specialist | 114 W Delaware Ave, Nowata, OK 74048-2601 | 2020-05-05 |
| 1306322623 | William James Caulfield IIi | Peer Specialist | 114 W Delaware Ave, Nowata, OK 74048-2601 | 2018-07-19 |
| 1174009039 | Robert Jackson | Peer Specialist | 114 W Delaware Ave, Nowata, OK 74048 | 2018-07-13 |
| 1508352030 | Trica Deann Walters | Peer Specialist | 114 W Delaware Ave, Nowata, OK 74048-2601 | 2018-07-09 |
| 1427558170 | Chelsea Olivia Richardson | Peer Specialist | 111 W Delaware Ave, Nowata, OK 74048-2616 | 2018-02-20 |
| 1568979136 | Alisa Ann Foster | Peer Specialist | 111 W Delaware Ave, Nowata, OK 74048-2616 | 2018-01-04 |
| 1780190603 | Charles Lee Hamit | Peer Specialist | 111 W Delaware Ave, Nowata, OK 74048-2616 | 2017-12-15 |
| 1265948004 | Latricia Edna Shambles | Peer Specialist | 111 W Delaware Ave, Nowata, OK 74048-2616 | 2017-12-15 |
| 1659897494 | Kara Lynn Cantrell | Peer Specialist | 111 W Delaware Ave, Nowata, OK 74048-2616 | 2017-08-14 |
| Find all providers in NOWATA | ||||
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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.