MELISA DEAN (NPI# 1710384870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710384870 |
Entity Type | Individual |
Full Name | MELISA DEAN |
Credential | WHNP |
Practice Address |
700 S Telephone Rd Ste 401 Moore OK 73160-2548 |
Mailing Address |
Po Box 1330 Norman OK 73070-1330 |
Practice Telephone | 4057932229 |
Practice Fax Number | 4059123579 |
Mailing Telephone | 4053076668 |
Enumeration Date | 2014-12-04 |
Last Update Date | 2018-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP07999 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
700 S TELEPHONE RD STE 401 |
City | MOORE |
State | OK |
Zip Code | 73160-2548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447895743 | Amber Lynn Wilburn | Nurse Practitioner | 700 S Telephone Rd Ste 401, Moore, OK 73160-2548 | 2019-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
Find all providers in zip 73160 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447895743 | Amber Lynn Wilburn | Nurse Practitioner | 700 S Telephone Rd Ste 401, Moore, OK 73160-2548 | 2019-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831729920 | Sheila Metzger | Nurse Practitioner | 2550 W Franklin Rd, Norman, OK 73069-8012 | 2020-01-17 |
1295380269 | Meisha Hall | Nurse Practitioner | 2508 W Huntsville St, Broken Arrow, OK 74011-6124 | 2019-08-07 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1437695715 | Erika Rumble | Nurse Practitioner | 10901 E 48th Street S, Tulsa, OK 74146-5830 | 2017-01-11 |
1083073365 | Kendra Seccombe | Nurse Practitioner | 161 Eco Friendly Dr, Suite 201, Muskogee, OK 74401-5100 | 2016-02-16 |
1356766315 | Brianna Weathers | Nurse Practitioner | 401 W Tamarack Rd, Altus, OK 73521-1529 | 2014-02-27 |
1932473568 | Julie Claire Styles | Nurse Practitioner | 1540 N Lewis Ave, Tulsa, OK 74110-2535 | 2012-02-29 |
1376825596 | Jaclyn Danielle Maphies | Nurse Practitioner | 800 N.e. 10th Street, Suite 2100, Oklahoma City, OK 73104-5418 | 2011-09-14 |
1104124502 | Toby Lea Miller | Nurse Practitioner | 1603 W 9th Ave, Stillwater, OK 74074-5202 | 2011-03-09 |
1306049036 | Estelle Ritter Ferguson | Nurse Practitioner | 101 Meadow Ln, Chandler, OK 74834-8786 | 2007-06-08 |
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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.