TINA RENEE HARRISON (NPI# 1821413501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821413501 |
Entity Type | Individual |
Full Name | TINA RENEE HARRISON |
Credential | APRN |
Practice Address |
128 Buffalo Stree Caddo OK 74729-0146 |
Mailing Address |
Po Box 146 Caddo OK 74729-0146 |
Practice Telephone | 5803672100 |
Practice Fax Number | 5803672103 |
Mailing Telephone | 5803672100 |
Mailing Fax Number | 5803672103 |
Enumeration Date | 2014-03-04 |
Last Update Date | 2017-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP130039 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0071168 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417038977 | Tina F Harrison | Dentist | 25043 Highway 15, Union, MS 39365-8577 | 2006-10-18 |
1285642629 | Tina L Harrison | Internal Medicine | 9669 E. 146th Street, Suite 200, Noblesville, IN 46060-5004 | 2006-08-03 |
Street Address |
128 BUFFALO STREE |
City | CADDO |
State | OK |
Zip Code | 74729-0146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760721294 | Emily Ruth Love | Nurse Practitioner | 128 Buffalo St., Caddo, OK 74729 | 2013-02-04 |
1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
1477899532 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-12-18 |
1629452933 | Alicia Pettett | Speech-Language Pathologist | 600 S Mcpherren Street, Caddo, OK 74729-0128 | 2015-07-16 |
1033251525 | Bryan County School District I5 | Local Education Agency (LEA) | 600 S Mcpheron, Caddo, OK 74729-0128 | 2007-02-13 |
1730560459 | Jennifer Green | Case Manager/Care Coordinator | 610 Russell Rd, Caddo, OK 74729-1111 | 2015-06-18 |
1225357858 | Dion Lynore Martin | Counselor | 529 Hope Cir # 17, Caddo, OK 74729-1800 | 2010-05-21 |
1053639278 | Dana Melynda Blackwell | Behavioral Analyst | 6544 Nails Crossing Rd, Caddo, OK 74729-2016 | 2010-05-12 |
1154733293 | Onesource LLC | Pharmacy | 124 Buffalo St, Caddo, OK 74729-2606 | 2014-05-23 |
1033354121 | Kari Kamay Harrison | Registered Nurse | 138 Freeny Valley Rd, Caddo, OK 74729-2607 | 2008-12-04 |
Find all providers in zip 74729 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760721294 | Emily Ruth Love | Nurse Practitioner | 128 Buffalo St., Caddo, OK 74729 | 2013-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
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.