AMANDA DAWN EICKHOFF (NPI# 1811487580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811487580 |
| Entity Type | Individual |
| Full Name | AMANDA DAWN EICKHOFF |
| Practice Address |
7010 S Yale Ave Tulsa OK 74136-5713 |
| Mailing Address |
2928 W 68th St Tulsa OK 74132-1779 |
| Practice Telephone | 9184949870 |
| Mailing Telephone | 9183133004 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 252 W 17th Pl, Tulsa, OK 741194654 | 9183822470 | 9185859543 |
| 2928 W 68th St, Tulsa, OK 741321779 | 9183133004 |
| Street Address |
7010 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770646135 | Associated Centers for Therapy, Inc. | Community/Behavioral Health | 7010 S Yale Ave, Suite 215, Tulsa, OK 74136-5713 | 2006-12-18 |
| 1891305041 | Jacqueline Jones Bramblett | Case Manager/Care Coordinator | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2020-08-03 |
| 1720605975 | Cherelle Berry | Case Manager/Care Coordinator | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2020-07-02 |
| 1467081679 | Tiffany Jean Sample | Case Manager/Care Coordinator | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2020-04-08 |
| 1588298038 | Angela Marie Stone | Counselor | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2020-02-24 |
| 1578112348 | Joy Lynn Stanfield | Social Worker | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2019-09-05 |
| 1871081935 | Jacen Byrd | Counselor | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2018-04-24 |
| 1699215491 | Jessica Wiles | Social Worker | 7010 S Yale Ave, Suite 215, Tulsa, OK 74136-5713 | 2017-02-28 |
| 1154863041 | Donna Martin | Social Worker | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2016-11-09 |
| 1932558228 | Elandia Diane Maloy | Social Worker | 7010 S Yale Ave, Tulsa, OK 74136-5713 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| 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.