LEONARD TERRY (NPI# 1700918836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700918836 |
| Entity Type | Individual |
| Full Name | LEONARD TERRY |
| Credential | MBS |
| Practice Address |
1204 Nw Gaye Kingston OK 73439-8238 |
| Practice Telephone | 5809246363 |
| Practice Fax Number | 5809240379 |
| Mailing Telephone | 5809246363 |
| Mailing Fax Number | 5809240379 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1807 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1204 NW GAYE |
| City | KINGSTON |
| State | OK |
| Zip Code | 73439-8238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489859 | Amanda Griffin | Behavior Technician | 9236 Polvadore Drive, Kingston, OK 73439 | 2020-02-13 |
| 1659837102 | Sheriden Cheyenne Franks | Pharmacist | 7 North Main Street, Kingston, OK 73439 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1932577277 | Laura Kay Gleaves | Counselor | 717 B Hwy E, Kingston, OK 73439 | 2015-09-03 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1518373513 | Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC | Community/Behavioral Health | 8800 Birch St, Kingston, OK 73439 | 2014-07-10 |
| 1205131554 | Marie Morrison Bramlett | Counselor | 400 Ne 3rd St, Kingston, OK 73439 | 2011-01-18 |
| Find all providers in zip 73439 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275905226 | Leesa Buffer | Counselor | 42 E Vaughn St, Kingston, PA 18704-4818 | 2015-10-28 |
| 1386010783 | Jennifer Misunas Buckwash | Counselor | 400 3rd Ave Ste 218, Kingston, PA 18704-5816 | 2015-08-19 |
| 1932534880 | Chickasaw Nation | Counselor | 12998 Village Rd, Kingston, OK 73439-5272 | 2013-09-11 |
| 1649527862 | Joyce M Mcdowell | Counselor | 10275 Creek Rd, Kingston, OK 73439-9056 | 2012-08-07 |
| 1467787937 | Lea Briley | Counselor | 703 Sw 2nd St, Kingston, OK 73439-8001 | 2009-10-16 |
| 1083859185 | Brian Cook | Counselor | 480 Pierce St Ste 108, Kingston, PA 18704-5512 | 2008-12-04 |
| 1134241755 | Joy Hafner Bailey | Counselor | 38 Lowry Way, Kingston, GA 30145 | 2007-04-04 |
| 1063572550 | Steven R Silverstein | Counselor | 792 Market St, Kingston, PA 18704 | 2006-12-12 |
| 1447870969 | Amy Lowenhar-blauweiss | Counselor | 124 Green St, Kingston, NY 12401-4422 | 2020-04-24 |
| 1922639947 | Jennifer Runquist | Counselor | 368 Tioga Ave, Kingston, PA 18704-5117 | 2020-01-29 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on LEONARD TERRY.
| 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.