SAMANTHA CHANDLER HERBERT (NPI# 1598154288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598154288 |
| Entity Type | Individual |
| Full Name | SAMANTHA CHANDLER HERBERT |
| Credential | APRN CNP |
| Practice Address |
1 Choctaw Way Talihina OK 74571-2022 |
| Mailing Address |
21 Pickle Ln Heavener OK 74937-9400 |
| Practice Telephone | 9185677000 |
| Mailing Telephone | 9185677000 |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
72521 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 CHOCTAW WAY |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596791 | Clinton D Bullock | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2005-05-24 |
| 1568089555 | Robert Benjamin Bowman | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-25 |
| 1851917363 | Rashad Mohamed Riazuddin | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-20 |
| 1144846635 | Saranah Isenberg | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-19 |
| 1083233043 | Ethan Hight Linscott | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-04-10 |
| 1104466010 | Crystal Renee Collins | Respiratory Therapist, Certified | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-01-08 |
| 1619514213 | Ashley Danielle Devaughan | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-12-03 |
| 1134761158 | Julie Collins | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-10 |
| 1114569423 | Caroline Jalen Couch | Occupational Therapist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-09 |
| 1376104893 | Eric Allen Gillette | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
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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.