CLEBORN GOSSETT


Address: 721 Waterview Rd, Oklahoma City, OK 73170-1637
Phone: 4057617512

CLEBORN GOSSETT (NPI# 1801412135) 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) 1801412135
Entity Type Individual
Full Name CLEBORN GOSSETT
Practice Address 721 Waterview Rd
Oklahoma City
OK 73170-1637
Practice Telephone 4057617512
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 721 WATERVIEW RD
City OKLAHOMA CITY
State OK
Zip Code 73170-1637

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847542 Premier Healthcare, Aprn-cnp Nurse Practitioner 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 2020-07-01
1982233565 Bethany Ann Arthur Student in an Organized Health Care Education/Training Program 661 Waterview Rd, Okc, OK 73170 2020-04-06
1952868929 Ariana N. Ree Peer Specialist 328 Sw 147th St, Oklahoma City, OK 73170 2019-02-26
1780151431 Looking Up Counseling Counselor 709 Sw 119th Ste. B1, Okc, OK 73170 2018-10-31
1902385859 Danell Marie Rahni Psychologist 17300 Serrano Dr, Oklahoma City, OK 73170 2018-08-11
1619468378 Nhan Nguyen Student in an Organized Health Care Education/Training Program 10504 S Miller Ave, Oklahoma City, OK 73170 2018-05-29
1740709906 Hall Podiatry LLC Clinic/Center 20 Sw 132nd Terrace, Moore, OK 73170 2017-09-19
1942727896 Adelaide V South Dietitian, Registered 12216 S Land Ave, Oklahoma City, OH 73170 2017-08-22
1477073609 Mary Ann Hayden Nurse Practitioner 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 2017-06-20
1245762293 Michael David Detten Physical Therapist 10740 S May Ave Ste 111, Oklahoma City, OK 73170 2017-03-29
Find all providers in zip 73170

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
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
1023652377 Pamela Kristine Cavazos Peer Specialist 1116 Sw 128th St, Oklahoma City, OK 73170-6954 2019-10-30
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73170

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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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