LARISSA WAITS (NPI# 1568916039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916039 |
| Entity Type | Individual |
| Full Name | LARISSA WAITS |
| Credential | PARAPROFESSIONAL |
| Practice Address |
407 N Bliss Ave Tahlequah OK 74464-2502 |
| Mailing Address |
407 N Bliss Tahlequah OK 74464 |
| Practice Telephone | 9187720246 |
| Mailing Telephone | 9187720246 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
407 N BLISS AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689195950 | Kayla Crenshaw | Specialist/Technologist, Other | 1239 S Quincy Ave Apt 13, Tulsa, OK 74120-5277 | 2017-06-27 |
| 1578096376 | Curt A Angel | Specialist/Technologist, Other | 1706 S 84th East Ave, Tulsa, OK 74112-8340 | 2017-04-07 |
| 1962946327 | Anita Lynn Noland | Specialist/Technologist, Other | 1620 Castle Rock Rd, Yukon, OK 73099-4429 | 2016-12-05 |
| 1932562261 | Lindsay Kay Kennedy | Specialist/Technologist, Other | 113 Dianna Dr., Yukon, OK 73099 | 2016-04-04 |
| 1437250867 | James Allen Carr | Specialist/Technologist, Other | 10301 E 51st St Ste E, Tulsa, OK 74146-5808 | 2006-09-26 |
| 1588017594 | Kevin Sadosky | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2016-07-14 |
| 1881052918 | Bianca Lorraine Thompson | Specialist/Technologist, Other | 1311 N Lottie Ave, Oklahoma City, OK 73117-2051 | 2016-02-03 |
| 1386023539 | Joni Cook | Specialist/Technologist, Other | 800 Tucker Dr, Tulsa, OK 74104-9700 | 2015-05-20 |
| 1801283379 | Taylor Hopcraft | Specialist/Technologist, Other | 205 E B St, Jenks, OK 74037-3906 | 2015-04-22 |
| 1437557790 | Brenda Casillas | Specialist/Technologist, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2014-12-18 |
| 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.