TRISTAN GRIFFIN (NPI# 1629394432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629394432 |
| Entity Type | Individual |
| Full Name | TRISTAN GRIFFIN |
| Credential | M.E.D |
| Practice Address |
116 Se Ave N Idabel OK 74745-5234 |
| Practice Telephone | 5802866671 |
| Practice Fax Number | 5802865747 |
| Mailing Telephone | 5802866671 |
| Mailing Fax Number | 5802865747 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
116 SE AVE N |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154581 | Providence Service Corporation of Oklahoma | Community/Behavioral Health | 116 Se Ave N, Idabel, OK 74745-5234 | 2014-04-15 |
| 1962711986 | Katedria Mosley | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-09-27 |
| 1801101142 | Jeffery Henderson | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-08-11 |
| 1386957173 | Barbara Johnson | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-07-21 |
| 1154633733 | Glenda Griffin | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-07-12 |
| 1891007472 | Evorn Jones | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-07-12 |
| 1861704652 | Kiamchi Youth Services Inc | Community/Behavioral Health | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-07-08 |
| 1376860080 | June Matlock | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-04-21 |
| 1669798484 | Burtchal Griffin | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-04-19 |
| 1962728766 | Rosalyn Ann Moore | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569233 | Dee Anne Crusoe | Counselor | 511 Se Ave G, Idabel, OK 74745-6220 | 2016-02-29 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1417217308 | Yolanda Renee Bailey | Counselor | 703 Se Ave G, Idabel, OK 74745-7609 | 2012-05-24 |
| 1356600050 | Frankie Mae Scales | Counselor | 1810 Larosa St, Idabel, OK 74745-2517 | 2012-05-15 |
| 1588793780 | Brenda Gayle Chadwick-liechti | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2007-03-05 |
| 1679174619 | Jessika Rena Jones | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2020-11-05 |
| 1871080424 | Ann Marie Treser-stephens | Counselor | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-04-19 |
| 1285909564 | Elizabeth R Messick | Counselor | 4 Se Ave A, Idabel, OK 74745-4620 | 2012-03-20 |
| 1619256245 | Catherine Bruce | Counselor | 4 Se Ave A, Idabel, OK 74745-4620 | 2011-08-13 |
| 1902197304 | Rebecca Rose Clouse | Counselor | 17 S Central Ave, Idabel, OK 74745-4625 | 2011-04-20 |
| Find all providers in IDABEL | ||||
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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.