JESI MARIE TATUM (NPI# 1730416652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730416652 |
Entity Type | Individual |
Full Name | JESI MARIE TATUM |
Practice Address |
1101 E 15th St Pawhuska OK 74056-1901 |
Mailing Address |
Po Box 1382 Pawhuska OK 74056-1382 |
Practice Telephone | 9182873232 |
Mailing Telephone | 9184409240 |
Enumeration Date | 2009-11-13 |
Last Update Date | 2014-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
0105139 | OK | Nursing Service Providers |
Street Address |
1101 E 15TH ST |
City | PAWHUSKA |
State | OK |
Zip Code | 74056-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174521991 | Pawhuska Hospital, Inc. | General Acute Care Hospital | 1101 E 15th St, Pawhuska, OK 74056-1901 | 2005-07-14 |
1447891197 | Wenda Johnson | Nurse Practitioner | 1101 E 15th St, Pawhuska, OK 74056-1901 | 2019-10-03 |
1558784470 | Rondall Dunkle Jr. | Nurse Practitioner | 1101 E 15th St, Pawhuska, OK 74056 | 2014-01-29 |
1174650766 | Pawhuska Hospital, Inc. | General Acute Care Hospital | 1101 E 15th St, Pawhuska, OK 74056-1901 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
Find all providers in zip 74056 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861403271 | Jeana Kelly Fowler | Registered Nurse | 1449 W Main, Pawhuska, OK 74056 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
1932578648 | Jeana Underwood | Registered Nurse | 1511 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2015-09-23 |
1255728564 | Melissa Wilson | Registered Nurse | 19437 N 4230 Rd, Antlers, OK 74523-0753 | 2015-04-24 |
1578900791 | Diane Reagle | Registered Nurse | 604 E Glendale St, Broken Arrow, OK 74011-3597 | 2013-05-29 |
1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
1144388547 | Greater Dimensions Health Agency | Registered Nurse | 7812 Dripping Springs Ln, Oklahoma City, OK 73150-8326 | 2006-12-05 |
1235154022 | Unity Homecare, LLC | Registered Nurse | 2610 Nw Expressway Ste A, Oklahoma City, OK 73112 | 2006-07-13 |
1346800620 | Felix Peter Kasalika | Registered Nurse | 5350 E 46th St Ste 121, Tulsa, OK 74135-6601 | 2019-06-18 |
1578036893 | Gayla Brum | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-01-09 |
1699247213 | Stephanie Mae Porter | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2018-12-20 |
Find all providers with the same taxonomy |
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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.