TAKEYA GILLIAM


Address: 6100 S Walker Ave, Oklahoma City, OK 73139-7026
Phone: 4056344400

TAKEYA GILLIAM (NPI# 1780298869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780298869
Entity Type Individual
Full Name TAKEYA GILLIAM
Practice Address 6100 S Walker Ave
Oklahoma City
OK 73139-7026
Practice Telephone 4056344400
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 6100 S WALKER AVE
City OKLAHOMA CITY
State OK
Zip Code 73139-7026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306879671 Gabriel Matthew Cuka Psychiatry & Neurology 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2006-07-09
1356940407 Cornelius Coates Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-10-20
1003422395 Francis Lauraine Velez Otero Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-09-22
1962016899 Melody Violet Serrano Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-09-08
1881207926 Shirley Annette Garrett Licensed Practical Nurse 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-08-28
1235742958 Brooke Raye Huffman Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-08-24
1598378218 Brittany Nicole Porterfield Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-08-24
1972116697 Meghan Little Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-08-24
1255940185 Tanya Latrice Lee Case Manager/Care Coordinator 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-07-27
1437768371 Cady Paine Behavior Technician 6100 S Walker Ave, Oklahoma City, OK 73139-7026 2020-07-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447899778 First Med Primary Care LLC Clinic/Center 1142 Sw 104th St, Oklahoma City, OK 73139 2020-01-03
1205305737 Transit Medical Team LLC In Home Supportive Care 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 2018-11-14
1336621770 Mayra Edith Solis Case Manager/Care Coordinator 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 2018-09-01
1619470184 Linzi L Stewart, D.o., P.l.l.c. Obstetrics & Gynecology 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 2018-03-12
1467970467 Oklahoma Healthcare Transitions Inc Home Health 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 2017-08-30
1841714169 Gentry Kyler Jones Case Manager/Care Coordinator 301 W I240 Service Rd, Oklahoma City, OK 73139 2017-07-28
1437688082 Jasmine Small Case Manager/Care Coordinator 6100 S Walker, Okc, OK 73139 2017-06-07
1689029266 Swalk Operations, LLC Skilled Nursing Facility 315 Sw 80th Street, Oklahoma City, OK 73139 2016-05-02
1225491343 Elizabeth Pratt Counselor 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 2016-04-05
1326418542 Brittany Elis Walley Case Manager/Care Coordinator 8015 S Klein Ave, Oklahoma City, OK 73139 2015-09-30
Find all providers in zip 73139

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861002818 Keegan Eisenhardt Peer Specialist 6405 S Villa Ave, Oklahoma City, OK 73159-2741 2020-08-05
1689283780 Gregory Purvis Jr. Peer Specialist 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 2020-07-24
1609485762 Amanda Elaine Cruz Peer Specialist 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 2020-07-24
1063021384 Christina Len Petty Peer Specialist 2144 Nw 29th St, Oklahoma City, OK 73107-2526 2020-07-23
1104443977 Jennifer Lynn Cobb Peer Specialist 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 2020-06-28
1801412135 Cleborn Gossett Peer Specialist 721 Waterview Rd, Oklahoma City, OK 73170-1637 2020-06-23
1487270617 Foxy S Starnes Peer Specialist 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 2020-06-23
1154945582 Alexandra Paige Mcgowan-rayburn Peer Specialist 4129 Nw 21st St, Oklahoma City, OK 73107-2607 2020-06-01
1962034504 Crystal Rose Mckee Peer Specialist 3417 S Independence Ave, Oklahoma City, OK 73119-2617 2020-02-11
1508496662 Brie Jordan Florence Peer Specialist 2640 Sw 95th St, Oklahoma City, OK 73159-6720 2020-01-16
Find all providers in OKLAHOMA CITY

Competitor

Search similar providers

City OKLAHOMA CITY
Zip Code 73139

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Dataset Information

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.

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