DIANE REAGLE (NPI# 1578900791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578900791 |
| Entity Type | Individual |
| Full Name | DIANE REAGLE |
| Credential | RN |
| Practice Address |
604 E Glendale St Broken Arrow OK 74011-3597 |
| Practice Telephone | 9188502233 |
| Practice Fax Number | 8777772249 |
| Mailing Telephone | 9188502233 |
| Mailing Fax Number | 8777772249 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
ROO49723 | OK | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R0049723 | OK | Nursing Service Providers |
| Street Address |
604 E GLENDALE ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
| 1932578648 | Jeana Underwood | Registered Nurse | 1511 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2015-09-23 |
| 1255728564 | Melissa Wilson | Registered Nurse | 19437 N 4230 Rd, Antlers, OK 74523-0753 | 2015-04-24 |
| 1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
| 1144388547 | Greater Dimensions Health Agency | Registered Nurse | 7812 Dripping Springs Ln, Oklahoma City, OK 73150-8326 | 2006-12-05 |
| 1861403271 | Jeana Kelly Fowler | Registered Nurse | 1449 W Main, Pawhuska, OK 74056 | 2006-08-10 |
| 1235154022 | Unity Homecare, LLC | Registered Nurse | 2610 Nw Expressway Ste A, Oklahoma City, OK 73112 | 2006-07-13 |
| 1346800620 | Felix Peter Kasalika | Registered Nurse | 5350 E 46th St Ste 121, Tulsa, OK 74135-6601 | 2019-06-18 |
| 1578036893 | Gayla Brum | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-01-09 |
| 1699247213 | Stephanie Mae Porter | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
Please comment or provide details below to improve the information on DIANE REAGLE.
| 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.