MRS. SARA ELIZABETH SHEDD (NPI# 1619242260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619242260 |
Entity Type | Individual |
Full Name | MRS. SARA ELIZABETH SHEDD |
Other Name | SARA ELIZABETH SMOUSE |
Credential | RPH |
Practice Address |
One Choctaw Way Talihina OK 74571 |
Practice Telephone | 9185677000 |
Practice Fax Number | 9185677037 |
Mailing Telephone | 9185677000 |
Mailing Fax Number | 9185677037 |
Enumeration Date | 2012-03-15 |
Last Update Date | 2017-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 20954 | IA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 3921 | HI | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14436 | OK | Pharmacy Service Providers |
Street Address |
ONE CHOCTAW WAY |
City | TALIHINA |
State | OK |
Zip Code | 74571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841263175 | Thomas B. Hagelberger | Physician Assistant | One Choctaw Way, Choctaw Nation Health Care Center, Talihina, OK 74571-0000 | 2006-02-08 |
1407414600 | Kristin Kathleen Long | Social Worker | One Choctaw Way, Behavioral Health, Talihina, OK 74571 | 2019-06-03 |
1194179457 | Cedana Carroll Lanig | Nurse Practitioner | One Choctaw Way, Talihina, OK 74571 | 2016-04-22 |
1619027802 | Matthew David Olson | Pharmacist | One Choctaw Way, Talihina, OK 74571 | 2007-01-11 |
1578613832 | Courtney Michelle Suggs | Pharmacist | One Choctaw Way, Talihina, OK 74591 | 2007-01-11 |
1528161478 | Donald Lee Branham | Pharmacist | One Choctaw Way, Choctaw Nation Health Center, Talihina, OK 74571 | 2006-09-06 |
1811931512 | Imad Alwan | Internal Medicine | One Choctaw Way, Talihina, OK 74571 | 2006-06-15 |
1013975523 | Shiela Dianne Riley | Nurse Practitioner | One Choctaw Way, Talihina, OK 74571 | 2006-05-03 |
1407825847 | Sarah Ann Owers | Nurse Anesthetist, Certified Registered | One Choctaw Way, Talihina, OK 74571 | 2006-03-17 |
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 | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801160999 | Danica Joan Brown | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2012-03-07 |
1366716946 | Matt Miller | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2012-02-29 |
1518231182 | Ashlee Nicole Knapp Harden | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2012-02-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972128957 | Stacy Crystel Gee | Pharmacist | 1007 N Country Club, Ada, OK 74820-2847 | 2020-06-15 |
1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
1396133674 | Clayton Herr | Pharmacist | 23 Roka Rdg, Stillwater, OK 74075-1230 | 2015-01-08 |
1396086948 | Gerry Oquinn | Pharmacist | 72928 S 330 Rd, Wagoner, OK 74467-9420 | 2013-03-06 |
1295001881 | William Dean Balfour-grice | Pharmacist | 301 S. Jt Stites St., Sallisaw, OK 74955 | 2012-03-28 |
1558693804 | Brooke Lynn Honey | Pharmacist | 4444 E 41st St Fl 2, Suite A, Tulsa, OK 74135-2527 | 2010-02-10 |
1720233422 | Charles Michael Gates | Pharmacist | 3009 Nw Wilson St., Attn: Credentials, Fort Sill, OK 73503-9042 | 2008-11-21 |
1982851564 | Gregg Buxton Dalley | Pharmacist | 1400 East Downing, Tahlequah, OK 74464 | 2008-08-26 |
1346405784 | Miki Lynn Finnin | Pharmacist | 790 W 147th Pl S, Glenpool, OK 74033-4436 | 2008-07-24 |
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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.