JUSTIN HOLBROOK (NPI# 1740695774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740695774 |
| Entity Type | Individual |
| Full Name | JUSTIN HOLBROOK |
| Credential | APRN |
| Practice Address |
2900 S Telephone Rd Ste 250 Moore OK 73160-2969 |
| Mailing Address |
1621 Chambers St Norman OK 73071-7261 |
| Practice Telephone | 4052377500 |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
96294 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529652 | Justin Robert Holbrook | Student in an Organized Health Care Education/Training Program | 475 Vine St, Winston Salem, NC 27101-4135 | 2020-05-15 |
| 1730345604 | Justin Ray Holbrook | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2008-07-31 |
| Street Address |
2900 S TELEPHONE RD STE 250 |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962438739 | Alvin J. Bradford | Emergency Medicine | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2006-06-24 |
| 1104440619 | Kaitlin Elizabeth Shaw | Physician Assistant | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2020-05-31 |
| 1184142259 | Ashley Morgan Garrison | Physician Assistant | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2017-09-08 |
| 1760910772 | Charlysa Diana Gatlin Castillo | Nurse Practitioner | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2017-06-03 |
| 1578953394 | Shawn Musgrave | Nurse Practitioner | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2015-02-01 |
| 1003239518 | Kristen Lanae Rosenau | Nurse Practitioner | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2936 | 2014-02-04 |
| 1912262197 | Marc Andres | Emergency Medicine | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2012-07-12 |
| 1609162205 | Jason Bulent Tilley | Emergency Medicine | 2900 S Telephone Rd Ste 250, Moore, OK 73160 | 2011-06-22 |
| 1508934431 | Jessica Dawn Hildebrand | Emergency Medicine | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2006-11-30 |
| 1013940071 | Israel Becerra | Emergency Medicine | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2006-07-09 |
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| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729504 | Christopher R Stepp | Nurse Practitioner | 612 Madeline Ln, Moore, OK 73160-0003 | 2020-08-08 |
| 1821627167 | Lauren D'ann Clark | Nurse Practitioner | 3305 Red Maple Ln, Moore, OK 73170-1025 | 2020-04-08 |
| 1598324642 | Alexandria Nicole Martin | Nurse Practitioner | 705 Wall Cir, Moore, OK 73160-1940 | 2019-06-12 |
| 1518439991 | Alysia Mcdaniel | Nurse Practitioner | 9208 Winfield Ln, Moore, OK 73160-9161 | 2018-12-22 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1124512322 | Fulcrum Clinic LLC | Nurse Practitioner | 1025 Sw 4th St Ste 204, Moore, OK 73160-2404 | 2018-06-20 |
| 1174034565 | Anthony Eugene Johnson | Nurse Practitioner | 905 Sw 38th St, Moore, OK 73160-9409 | 2017-10-12 |
| 1356892921 | Roy Slootheer | Nurse Practitioner | 1308 River Birch Run, Moore, OK 73160-1378 | 2016-10-19 |
| 1649639279 | Valerie Bell | Nurse Practitioner | 110 Kimberling Dr, Moore, OK 73160-4629 | 2016-02-10 |
| 1609281658 | Carol Leigh Hagan | Nurse Practitioner | 13316 S Western Ave Ste M, Moore, OK 73170-7310 | 2014-06-29 |
| Find all providers in MOORE | ||||
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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.