TAKEYA GILLIAM (NPI# 1780298869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
6100 S WALKER AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73139-7026 |
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 |
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 Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
City | OKLAHOMA CITY |
Zip Code | 73139 |
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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.