BRIAN KEITH UTLEY I (NPI# 1790254993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790254993 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH UTLEY I |
| Practice Address |
100 Plaza Rm 305 Madill OK 73446-2273 |
| Mailing Address |
8501 S Project Ln Milburn OK 73450-9581 |
| Practice Telephone | 5802572002 |
| Practice Fax Number | 5807959454 |
| Mailing Telephone | 5805139753 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013148451 | Brian Timone Utley | Chiropractor | 4296 Memorial Dr Ste B, Decatur, GA 30032-1227 | 2009-08-03 |
| Street Address |
100 PLAZA RM 305 |
| City | MADILL |
| State | OK |
| Zip Code | 73446-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104306943 | Jennifer Duncan | Case Manager/Care Coordinator | 605 S. 1st, Madill, OK 73446 | 2018-08-21 |
| 1710228853 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 605 1st Street, Madill, OK 73446 | 2013-03-14 |
| 1285975581 | Madill Dental Company | Dentist | 804 S 1st St Suite C, Madill, OK 73446 | 2013-03-12 |
| 1174812879 | Lori Ann Black | Counselor | 109 South 1st, Madill, OK 73446 | 2011-04-04 |
| 1598090318 | Marshall County Ems District | Ambulance | Four Hospital Drive, Madill, OK 73446 | 2009-10-13 |
| 1598969800 | Tanya L Magness | Counselor | 300 E Wolf St, Madill, OK 73446 | 2007-06-12 |
| 1629100524 | Stacy James Rendon | Occupational Therapy Assistant | 210 Brookside Drive, Madill, OK 73446 | 2007-03-09 |
| 1194881367 | Carren D Tshirlig | Occupational Therapist | Hwy 99 S, Madill, OK 73446 | 2006-12-29 |
| 1912000886 | Courtney Thomas | Physical Therapy Assistant | 310 Brookside Dr., Madill, OK 73446 | 2006-09-06 |
| 1700993797 | Wapiti Orthopedics PC | Orthopaedic Surgery | #1 Hospital Drive, Madill, OK 73446 | 2006-08-24 |
| Find all providers in zip 73446 | ||||
| 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 |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.