DAGAN WEBB (NPI# 1720531338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720531338 |
Entity Type | Individual |
Full Name | DAGAN WEBB |
Practice Address |
23 E Ross Ave Sapulpa OK 74066-6423 |
Practice Telephone | 9186947574 |
Mailing Telephone | 9186947574 |
Enumeration Date | 2016-07-31 |
Last Update Date | 2016-07-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | OK | Nursing Service Providers |
Street Address |
23 E ROSS AVE |
City | SAPULPA |
State | OK |
Zip Code | 74066-6423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770572091 | Stacy Spears | Nurse Practitioner | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2005-10-19 |
1770181356 | Amber Baldwin | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-15 |
1578161881 | Sylvester Harris IIi | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-09 |
1366055014 | Amanda Williams | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-24 |
1861003618 | Precious D Miller | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-14 |
1487263778 | Melinda Vansandt | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-23 |
1700404449 | Jeremy John Myers | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-09 |
1336763945 | Jordan Patty | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-05-31 |
1720612799 | Tracy R Smith | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-27 |
1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
Find all providers in zip 74066 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
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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.