KELLI ANDERSON (NPI# 1760682439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760682439 |
| Entity Type | Individual |
| Full Name | KELLI ANDERSON |
| Credential | BS |
| Practice Address |
205 S Adair St Pryor OK 74361-5201 |
| Practice Telephone | 9188254872 |
| Mailing Telephone | 9188254872 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NONE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
| 1700239738 | Kelli Ann Anderson | Registered Nurse | 16367 5 Mile Hwy, Onaway, MI 49765-9389 | 2016-07-14 |
| 1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
| 1548739717 | Kelli Anderson | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2018-11-17 |
| 1033643036 | Kelli Anderson | Case Manager/Care Coordinator | 3020 18th St Ste 3, Columbus, NE 68601-4254 | 2017-04-17 |
| 1891069928 | Kelli Anderson | Counselor | 120 Maple St, Springfield, MA 01103-2203 | 2012-03-07 |
| 1841574027 | Kelli Anderson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-10-05 |
| 1508167578 | Kelli Anderson | Case Management | 619 N Main St, Muskogee, OK 74401-4431 | 2010-11-08 |
| 1740424647 | Kelli Anderson | Nurse Practitioner | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2009-04-23 |
| 1992857775 | Kelli Christina Anderson | Specialist | 99 Kinderkamack Rd, Suite 112, Westwood, NJ 07675-3012 | 2007-01-18 |
| Street Address |
205 S ADAIR ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469380 | Garry Wayne Russell | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-12 |
| 1023535770 | Paul Dean Mcfarland | Peer Specialist | 205 S Adair St, Pryor, OK 74361-5201 | 2017-08-24 |
| 1265854475 | Tracie Stone | Case Manager/Care Coordinator | 205 S Adair St, Pryor, OK 74361-5201 | 2014-01-08 |
| 1538495692 | Marti Leeann Nichols | Psychologist | 205 S Adair St, Pryor, OK 74361-5201 | 2009-10-26 |
| 1588808109 | Pushmataha Counseling Services, Inc. | Community/Behavioral Health | 205 S Adair St, Pryor, OK 74361-5201 | 2009-04-27 |
| 1710187711 | James Keith Schardein II | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-19 |
| 1508065970 | Pushmataha Counseling Services, Inc. | Community/Behavioral Health | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1649439225 | Susan Ann Mills | Counselor | 205 South Adair, Pryor, OK 74361 | 2008-06-09 |
| 1548469380 | Garry Wayne Russell | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-12 |
| 1447629118 | Ronita Jo Mann | Counselor | 231 E Graham Ave, Pryor, OK 74361-2436 | 2015-09-23 |
| 1871924423 | Trista Beavers | Counselor | 109 N Fairland St, Pryor, OK 74361-4203 | 2013-12-09 |
| 1285997346 | Charrie Danielle Hayward | Counselor | 215 N. Fairland, Pryor, OK 74361-4207 | 2012-06-22 |
| 1265764468 | Carol Steinbach | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-02-12 |
| 1962631911 | Christine Hamner | Counselor | 231 E Graham Ave, Pryor, OK 74361-2436 | 2009-07-13 |
| 1710187711 | James Keith Schardein II | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-19 |
| Find all providers in PRYOR | ||||
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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.