MEGAN CROCKER (NPI# 1790383339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790383339 |
| Entity Type | Individual |
| Full Name | MEGAN CROCKER |
| Practice Address |
252 W 17th Pl Tulsa OK 74119-4654 |
| Mailing Address |
12307 E 111th St N Owasso OK 74055-6312 |
| Practice Telephone | 9183133018 |
| Mailing Telephone | 9183133018 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| 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 |
252 W 17TH PL |
| City | TULSA |
| State | OK |
| Zip Code | 74119-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629494091 | Charlotte Smith | Counselor | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2014-03-10 |
| 1326673757 | Amanda Elaine Pippin | Peer Specialist | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2020-03-05 |
| 1730668971 | Julie Marie Tate | Peer Specialist | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2018-08-08 |
| 1497231302 | Tera Shawn Bryant | Specialist | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2018-07-13 |
| 1497249809 | Robn Ranier Roark | Specialist | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2018-06-19 |
| 1679063473 | Lynn M Wilson | Social Worker | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2018-05-16 |
| 1669960456 | Steven Hunter | Peer Specialist | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2018-04-26 |
| 1609397223 | Christopher Arlin Knight | Counselor | 252 W 17th Pl, Tulsa, OK 74119-4654 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| 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 |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1114549656 | Jonathan Michael Holbrook | Peer Specialist | 6963 E 15th Pl Apt 239, Tulsa, OK 74112-7410 | 2020-05-06 |
| Find all providers in TULSA | ||||
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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.