FAMILY SHELTER OF SOUTHERN OKLAHOMA FOR VICTIMS OF DOMESTIC VIOLENCE (NPI# 1821211558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821211558 |
| Entity Type | Organization |
| Organization Name | FAMILY SHELTER OF SOUTHERN OKLAHOMA FOR VICTIMS OF DOMESTIC VIOLENCE |
| Practice Address |
117 B St Sw Ardmore OK 73401-6401 |
| Mailing Address |
Po Box 1408 Ardmore OK 73402-1408 |
| Practice Telephone | 5802263750 |
| Practice Fax Number | 5802266470 |
| Mailing Telephone | 5802263750 |
| Mailing Fax Number | 5802266470 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JESSIE L NANCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802263750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498078 | Family Shelter of Southern Oklahoma for Victims of Domestic Violence | Community/Behavioral Health | 116 C St Sw, Ardmore, OK 73401-6304 | 2007-07-10 |
| Street Address |
117 B ST SW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144586975 | Lynn Connell | Counselor | 117 B St Sw, Ardmore, OK 73401-6401 | 2012-04-05 |
| 1083970818 | Penny Elliott | Counselor | 117 B St Sw, Ardmore, OK 73401-6401 | 2012-04-05 |
| 1891023115 | Family Shelter of Southern Oklahoma | Counselor | 117 B St Sw, Ardmore, OK 73401-6401 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280422 | William Cedric Towner | Voluntary or Charitable | 5638 East 98th Street, Tulsa, OK 74137-4924 | 2017-08-11 |
| 1700230158 | Joshua Moles | Voluntary or Charitable | 710 N Francis St, Ada, OK 74820-3866 | 2016-04-21 |
| 1447655980 | Safenet Services, Inc. | Voluntary or Charitable | 1219 W Dupont St, Claremore, OK 74017-5318 | 2014-10-27 |
| 1144583170 | National Women In Ag. Association's | Voluntary or Charitable | 1701 N Martin Luther King Ave, Oklahoma City, OK 73111 | 2012-06-25 |
| 1730445768 | Trisha Leach | Voluntary or Charitable | 1411 Nw Lincoln Ave Apt A, Lawton, OK 73507-2906 | 2012-04-04 |
| 1265703342 | Positive Tomorrows, Inc. | Voluntary or Charitable | 1804 N Brauer Ave, Oklahoma City, OK 73106-4225 | 2012-01-20 |
| 1457622540 | Second Chance and Reentry Services, Inc | Voluntary or Charitable | 106 N Bickford Ave, El Reno, OK 73036-2750 | 2012-01-20 |
| 1053682583 | The Homeless Alliance, Inc. | Voluntary or Charitable | 1724 Nw 4th St, Oklahoma City, OK 73106-2609 | 2012-01-13 |
| 1467730952 | Jack C. Montgomery Va Medical Center | Voluntary or Charitable | 102 York Village Dr, Apt 1, Muskogee, OK 74403-4843 | 2011-08-01 |
| 1093027609 | The Exchange Club Center for The Prevention of Child Abuse of Oklahoma | Voluntary or Charitable | 437 Nw 12th St, Oklahoma City, OK 73103-3706 | 2010-07-12 |
| 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.