SARAH ANN BACON (NPI# 1649821943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821943 |
| Entity Type | Individual |
| Full Name | SARAH ANN BACON |
| Practice Address |
903 Holmes Ave Cushing OK 74023-4707 |
| Practice Telephone | 9183993003 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255961223 | Sarah Alta Bacon | Occupational Therapist | 8505 E Temple Dr Unit 464, Denver, CO 80237-2542 | 2020-01-18 |
| 1710529722 | Sarah Elizabeth Bacon | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2019-10-10 |
| 1144798802 | Sarah Bacon | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2018-11-10 |
| 1558469635 | Sarah Donnelly Bacon | Physician Assistant | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2006-09-20 |
| Street Address |
903 HOLMES AVE |
| City | CUSHING |
| State | OK |
| Zip Code | 74023-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069654 | Laneta D Houston | Nurse's Aide | 1700 E Walnut, Cushing, OK 74023 | 2015-12-23 |
| 1306211024 | Deborah Denise Young | Speech-Language Pathologist | 316 N. Steele Ave, Cushing Upper Elementary, Cushing, OK 74023 | 2015-12-07 |
| 1821463647 | Ladawna Shawndrae Hollingshad | Nurse's Aide | 1405 E Moses, Cushing, OK 74023 | 2015-12-04 |
| 1932573094 | Margaret Marie King | Nurse's Aide | 1405 East Moses, Crushing, OK 74023 | 2015-11-30 |
| 1689056509 | Victoria Moran Nash | Counselor | 321 E. Main, Cushing, OK 74023 | 2015-06-27 |
| 1609140755 | Custom Dental of Cushing,pllc | Dentist | 3200 E. Main Street, Cushing, OK 74023 | 2012-03-06 |
| 1487957601 | World Wide Anesthesia Alliance | Nurse Anesthetist, Certified Registered | 2340 E Main, Cimarron Healthcare Center, Cushing, OK 74023 | 2010-12-09 |
| 1043520695 | Cheryl Kelly | Physical Therapist | 2809 E 9th St, Cushing, OK 74023 | 2010-10-18 |
| 1821279746 | Michael A Miller | Counselor | 100 S Jones, Cushing Valley Hope, Cushing, OK 74023 | 2007-11-20 |
| 1881763050 | Mays Drug Stores Inc | Pharmacy | 2110-o East Main, Cushing, OK 74023 | 2006-11-06 |
| Find all providers in zip 74023 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281626 | Karla J. Kellerman | Technician | 2271 County Road 898, Cushing, TX 75760-4317 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772314 | Jean Pittman | Technician | 1711 Ridgemont Cir, Norman, OK 73071-7422 | 2020-08-31 |
| 1548873805 | Monna K Billings | Technician | 9116 Nw 91st Cir, Yukon, OK 73099-8694 | 2020-08-26 |
| 1801405618 | Karen Durham | Technician | 1812 E 71st Pl Apt 2121, Tulsa, OK 74136-3967 | 2020-07-28 |
| 1821612672 | Sandra Spiegel | Technician | 114 S 74th St W, Muskogee, OK 74401-8655 | 2020-06-07 |
| 1871117846 | Beverly Ann Mantooth | Technician | 117801 S 4163 Rd, Eufaula, OK 74432-6607 | 2020-06-04 |
| 1447872494 | Michael Blake Weir | Technician | 413 Chief Stan Waite Dr, Catoosa, OK 74015-2134 | 2020-05-13 |
| 1205455409 | Kellie Elane Curtis | Technician | 13224 County Road 3590, Ada, OK 74820-0021 | 2020-04-09 |
| 1619596848 | Heidi R Presson | Technician | 416842 Muscogee Ln, Checotah, OK 74426-2359 | 2020-04-08 |
| 1396374468 | Patricia K Tlapak-giddens | Technician | 1008 Sw 63rd Street, Oklahoma City, OK 73139-1406 | 2020-04-02 |
| 1124654959 | Tiara Shacole Crawford | Technician | 1890 N Hartford Ave, Tulsa, OK 74106-3550 | 2020-03-12 |
| 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.