LAURA S BRANDVIK (NPI# 1669980173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669980173 |
| Entity Type | Individual |
| Full Name | LAURA S BRANDVIK |
| Other Name | LAURA S RAY |
| Credential | LPN |
| Practice Address |
Po Box 1 Fort Supply OK 73841-0001 |
| Mailing Address |
52075 S County Road 199 Woodward OK 73801-5693 |
| Practice Telephone | 5807662311 |
| Mailing Telephone | 5803742615 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0056276 | OK | Nursing Service Providers |
| Street Address |
PO BOX 1 |
| City | FORT SUPPLY |
| State | OK |
| Zip Code | 73841-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553163 | Mirissa Joy Beavers | Social Worker | 193461 E. County Rd. 304, Fort Supply, OK 73841 | 2019-11-25 |
| 1801119128 | Stephanie Harper | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1265755581 | Penny Hills | Registered Nurse | 1 Mile E. U S Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1982782181 | Patrick Scott Herd | Psychiatry & Neurology | Northwest Center for Behavioral Health, 1 Mile East On Hwy 270, Fort Supply, OK 73841 | 2006-11-02 |
| 1619290939 | Carrie Randall | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1528381845 | Sanzee Suthers | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1538482856 | Cathy Heinen | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1700109022 | Sharon Potts | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1932478070 | Angela M Myers | Nurse Practitioner | 193461 East County Road 304, Fort Supply, OK 73841-0001 | 2011-12-19 |
| 1710174107 | Northwest Center for Behavioral Health | Pharmacy | 1 Mi E Hwy 270, Fort Supply, OK 73841-0001 | 2007-09-28 |
| Find all providers in zip 73841 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777634 | Karen Ann Crosby | Licensed Practical Nurse | 205 E Ninth St, Wright City, OK 74766 | 2020-10-12 |
| 1013514504 | Tammie Renee Langford | Licensed Practical Nurse | 417952 E 1910 Rd, Antlers, OK 74523-7441 | 2020-10-07 |
| 1033722145 | Karen Gail Nickels | Licensed Practical Nurse | 29408 S 548 Rd, Cookson, OK 74427-2423 | 2020-08-28 |
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1003388497 | Katrina Ann Bush | Licensed Practical Nurse | 1721 E Omaha St Apt B3, Broken Arrow, OK 74012-0363 | 2018-12-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT SUPPLY |
| Zip Code | 73841 |
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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.