CARRIE FICKLIN (NPI# 1619452067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619452067 |
| Entity Type | Individual |
| Full Name | CARRIE FICKLIN |
| Practice Address |
5912 Us Hwy 70 East Mead OK 73449 |
| Mailing Address |
577 Lakeview Ave Healdton OK 73438-3250 |
| Practice Telephone | 5807459083 |
| Mailing Telephone | 5806680177 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
5912 US HWY 70 EAST |
| City | MEAD |
| State | OK |
| Zip Code | 73449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669013058 | Cynthia Marie Snyder | Peer Specialist | 5912 Hwy 70 E, Mead, OK 73449 | 2019-10-07 |
| 1225519531 | Anthony Metiz | Case Manager/Care Coordinator | 5912 U.S. Hwy 70 East, Mead, OK 73449 | 2018-08-24 |
| 1225441827 | Natalie Wilkinson | Behavioral Analyst | 5912 Highway 70, Mead, OK 73449 | 2014-06-11 |
| 1134469505 | Sue E Hoppe | Psychologist | 155 West Peterson Drive, Mead, OK 73449 | 2013-02-22 |
| 1912286428 | Elizabeth Ann Bates | Licensed Practical Nurse | 5912 Highway 70 E, Mead, OK 73449 | 2011-08-15 |
| 1992098784 | Crystal Mclaren | Counselor | 5912 Highway 70 East, Mead, OK 73449 | 2011-05-26 |
| 1790089829 | Southern Oklahoma Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 5862 Us Hwy 70, Mead, OK 73449 | 2011-01-04 |
| 1851460745 | Southern Oklahoma Treatment Services, Inc. | Clinic/Center | 5912 Us Hwy 70, Mead, OK 73449 | 2006-11-07 |
| 1669726675 | Carol Owens | Counselor | 5912 Highway 70 East, Mead, OK 73449 | 2012-10-30 |
| 1972884096 | Laura Ann Rogers-smith | Counselor | 5912 Highway 70 E, Mead, OK 73449 | 2011-09-02 |
| Find all providers in zip 73449 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669013058 | Cynthia Marie Snyder | Peer Specialist | 5912 Hwy 70 E, Mead, OK 73449 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| 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.