KELLY TATE (NPI# 1558481812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558481812 |
| Entity Type | Individual |
| Full Name | KELLY TATE |
| Practice Address |
1438 Hardcastle Blvd Purcell OK 73080-8233 |
| Mailing Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 4055274700 |
| Practice Fax Number | 5805590610 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T10378 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK LICENSE | T10378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203100 | Kelly R Tate | Counselor | 25882 Orchard Lake Rd Ste L-7a, Farmington Hills, MI 48336-1269 | 2008-07-22 |
| 1447212378 | Kelly H Tate | Nurse Practitioner | 199 E.b. Tate Road, Burlington, NC 27217 | 2006-04-05 |
| 1790323756 | Kelly Ann Tate | Social Worker | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-12-20 |
| 1396020467 | Kelly Tate | Pharmacist | 101 Doug Baker Blvd, Birmingham, AL 35242-2675 | 2011-10-19 |
| 1700839040 | Kelly S Tate | Family Medicine | 1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 | 2006-05-18 |
| Street Address |
1438 HARDCASTLE BLVD |
| City | PURCELL |
| State | OK |
| Zip Code | 73080-8233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954682 | Brian Joachims | Family Medicine | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2005-12-29 |
| 1235582099 | Debra Ann Degering | Nurse Practitioner | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2016-07-18 |
| 1386997674 | Brandi Brooks | Pharmacist | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2012-10-24 |
| 1497989248 | Erica D Dearman | Family Medicine | 1438 Hardcastle Blvd, Purcell, OK 73080 | 2009-05-07 |
| 1336390574 | Carol Jean Mccarty | Physician Assistant | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2008-10-07 |
| 1396860003 | Chickasaw Nation Division of Health | Pharmacy | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-20 |
| 1720102049 | Carrie Law | Pharmacist | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-19 |
| 1982764395 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2006-12-08 |
| 1932187382 | Shawn Bridwell | Physician Assistant | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1508195397 | Custom Dental of Purcell, Pllc | Dentist | 700 Chandler Rd., Purcell, OK 73080 | 2009-12-08 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| Find all providers in zip 73080 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223911 | Lindsey Brelynn Pulchny | Pharmacy Technician | 744 S Mississippi Ave Ste A, Atoka, OK 74525-3356 | 2020-07-27 |
| 1396243580 | Linda Joann Falling | Pharmacy Technician | 1500 E Downing St Ste 106, Tahlequah, OK 74464-3354 | 2018-01-23 |
| 1598140816 | Austin Scott Klososky | Pharmacy Technician | 13301 S Pennsylvania Ave, Oklahoma City, OK 73170-5007 | 2015-07-28 |
| 1992184436 | Veronica Lavon Austin | Pharmacy Technician | 6305 Ne 63rd St, Oklahoma City, OK 73141-9681 | 2015-05-28 |
| 1619194453 | Heritage Park Pharmacy, LLC | Pharmacy Technician | 6908 E Reno Ave Ste 101, Midwest City, OK 73110-2120 | 2007-04-20 |
| 1679653570 | Gayle Clark | Pharmacy Technician | 815 E 6th Street, Tishomingo, OK 73460 | 2006-10-16 |
| 1134210016 | Mechelle Lynnette Bentley | Pharmacy Technician | 301 West Grand, Tonis Westside Pharmacy, Ponca City, OK 74601 | 2006-09-27 |
| 1619068426 | Tiffany A Buckley | Pharmacy Technician | 4734 S 252nd West Ave, Sand Springs, OK 74063-4319 | 2006-09-27 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1679677959 | Anita Lynnette Reynolds | Pharmacy Technician | 116 S Wilson, Vinita, OK 74301 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
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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.