MS. LATASHA DANYELL MATHEWS (NPI# 1568700441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568700441 |
| Entity Type | Individual |
| Full Name | MS. LATASHA DANYELL MATHEWS |
| Practice Address |
1817 W Gore Blvd Lawton OK 73501-3614 |
| Practice Telephone | 5803573857 |
| Practice Fax Number | 5803573867 |
| Mailing Telephone | 5803573857 |
| Mailing Fax Number | 5803573867 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1817 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415387 | Joannita Patricia Mcmorris | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-04-04 |
| 1679930903 | Catherine Buckland | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2016-01-17 |
| 1629441530 | Cassandra Marie Kerrigan Redwine | Case Manager/Care Coordinator | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2015-11-02 |
| 1275928806 | Melina L Maloukis | Social Worker | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2015-03-31 |
| 1154747848 | Arthur Thomas IIi | Case Management | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2014-03-05 |
| 1225476245 | Kay Louise Specht | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2013-06-12 |
| 1265777122 | Ashley Hugley | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-12-04 |
| 1821341025 | Sharonica Johnson | Counselor | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-10-25 |
| 1558617548 | Patricia Jacquelyn Hughes | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
| 1740536721 | Tiffani Ann Keller | Psychologist | 1817 W Gore Blvd, Lawton, OK 73501-3614 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783933 | Angela Peterson | Rehabilitation Practitioner | 745 Ne 81st St, Oklahoma City, OK 73114-4001 | 2020-02-24 |
| 1801136619 | Amy Elizabeth Nickel | Rehabilitation Practitioner | 6119 N Parker Drive, Stillwater, OK 74075-5410 | 2013-02-15 |
| 1750629838 | Daniel Eric Bennett | Rehabilitation Practitioner | 202 S. Main St, Watts, OK 74964 | 2013-01-23 |
| 1962746214 | Carol Yeager Hargis | Rehabilitation Practitioner | Rr 4 Box 1107, Coalgate, OK 74538-9639 | 2012-11-26 |
| 1770844896 | Lucas Michael Reese | Rehabilitation Practitioner | 5929 N May Ave Ste 218, Oklahoma City, OK 73112-3925 | 2012-06-05 |
| 1306112503 | Paul Smith | Rehabilitation Practitioner | 2941 E 94th Pl, Tulsa, OK 74137-8723 | 2012-04-02 |
| 1629342464 | Shelli R. Simmons | Rehabilitation Practitioner | 2016 Ne 18th St, Oklahoma City, OK 73111-1628 | 2012-02-24 |
| 1609144062 | Erica Johnson | Rehabilitation Practitioner | 6942 S Joplin Ave Apt 1001, Tulsa, OK 74136-3519 | 2011-12-13 |
| 1114202090 | Adrian A Brown | Rehabilitation Practitioner | 433 Wilshire Blvd Suite B, Oklahoma City, OK 73116-7777 | 2011-10-11 |
| 1851685994 | Amanda Lee Carter | Rehabilitation Practitioner | 1900 Lakeview, Mcalester, OK 74501-2180 | 2011-06-07 |
| 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.