MRS. TRICIA LEE BUTNER (NPI# 1760487243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760487243 |
| Entity Type | Individual |
| Full Name | MRS. TRICIA LEE BUTNER |
| Other Name | TRICIA LEE COLCLAZIER |
| Credential | ARNP |
| Practice Address |
2403 W Wrangler Blvd Ste A Seminole OK 74868 |
| Mailing Address |
7800 Nw 85th Ter Oklahoma City OK 73132-3385 |
| Practice Telephone | 4053824939 |
| Practice Fax Number | 4052425928 |
| Mailing Telephone | 4059727239 |
| Mailing Fax Number | 4057531863 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28161 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100095680C | 05 |
| Street Address |
2403 W WRANGLER BLVD STE A |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700033867 | Kelli Ann Rollins | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868-1900 | 2008-08-20 |
| 1912182627 | Ronald Eugene Pauls | Physician Assistant | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868-1900 | 2008-01-02 |
| 1558422337 | Sergio G Demier | Family Medicine | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868-1900 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1710339536 | Melissa Ann Harris | Emergency Medicine | 2401 W Wrangler Blvd, Seminole, OK 74868 | 2016-07-05 |
| Find all providers in zip 74868 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945887 | Sora Song | Nurse Practitioner | 8477 Parkwood Blvd, Seminole, FL 33777-2711 | 2020-09-01 |
| 1285276964 | Donna Malkovich Aprn LLC | Nurse Practitioner | 9011 Park Blvd, Seminole, Fl 33777, United States, Suite 209, Seminole, FL 33777-3377 | 2019-10-14 |
| 1255894085 | Thurlow & Associates LLC | Nurse Practitioner | 13336 92nd Ave, Seminole, FL 33776-2426 | 2019-04-09 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1467823187 | Alena Borowski Martin | Nurse Practitioner | 311 Nw 8th Street, Seminole, TX 79360 | 2015-10-08 |
| 1427189695 | Constance Ann Bumiller | Nurse Practitioner | 7939 Harwood Rd, Seminole, FL 33777-3102 | 2007-03-08 |
| 1912983776 | Patricia Bernstein | Nurse Practitioner | 7601 Seminole Blvd, Seminole, FL 33772-4862 | 2005-12-22 |
| 1598746190 | Bonnie Lynn Davis | Nurse Practitioner | 9677 Seminole Blvd, Seminole, FL 33772-2526 | 2005-11-10 |
| 1346848637 | Sean L. Sharp, D.c., P.a. | Nurse Practitioner | 9011 Park Blvd Ste 209, Seminole, FL 33777-4123 | 2020-10-09 |
| 1639709504 | Shehnaz Virani | Nurse Practitioner | 1200 E Wrangler Blvd, Seminole, OK 74868-3512 | 2020-01-20 |
| Find all providers in SEMINOLE | ||||
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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.