ELIZABETH H. WIDASKI (NPI# 1730224924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730224924 |
| Entity Type | Individual |
| Full Name | ELIZABETH H. WIDASKI |
| Other Name | ELIZABETH H. MARTINEZ |
| Credential | RN |
| Practice Address |
4200 W Memorial Rd Ste 410 Oklahoma City OK 73120-8305 |
| Practice Telephone | 4056083866 |
| Practice Fax Number | 4056072976 |
| Mailing Telephone | 4056083866 |
| Mailing Fax Number | 4056072976 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
91951 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
632316 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200197740A | 05 |
| Street Address |
4200 W MEMORIAL RD STE 410 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196839 | Gregory B Vanzant | Internal Medicine | 4200 W Memorial Rd Ste 410, Oklahoma City, OK 73120-8305 | 2005-10-05 |
| 1336566983 | Michelle Ann Piper | Clinical Nurse Specialist | 4200 W Memorial Rd Ste 410, Oklahoma City, OK 73120 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1477922441 | Nissy Philip | Nurse Practitioner | 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 | 2015-09-21 |
| 1750766911 | Asha Joseph | Nurse Practitioner | 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 | 2015-07-29 |
| 1467899724 | Sukcha Maudie | Nurse Practitioner | 215 Nw 16th St, Oklahoma City, OK 73103-3408 | 2013-05-28 |
| 1700989316 | Misty Dawn Dean | Nurse Practitioner | 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 | 2006-09-07 |
| 1083630115 | Terry L Green | Nurse Practitioner | 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 | 2006-07-14 |
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on ELIZABETH H. WIDASKI.
| 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.