AMANDA KAY HOLER (NPI# 1821619834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821619834 |
Entity Type | Individual |
Full Name | AMANDA KAY HOLER |
Practice Address |
1200 Ne 13th St Oklahoma City OK 73117-1022 |
Mailing Address |
5986 Nw 35th St Warr Acres OK 73122-1507 |
Practice Telephone | 4052489368 |
Mailing Telephone | 4058162821 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-04-30 |
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 |
1200 NE 13TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73117-1022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659322527 | Peggy Louise Jewell | Psychiatry & Neurology | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2006-05-15 |
1881206142 | Rozella Marie Murray | Technician, Other | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2020-08-18 |
1104301563 | Christie Eve Horn | Case Manager/Care Coordinator | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-10-01 |
1639658032 | Ophelia Lorene Viezcas | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-08-07 |
1245725738 | Shannon D Clymer | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-06-27 |
1457886871 | Taft Jackson II | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-23 |
1154854743 | Limbusha Fields | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-10 |
1104378819 | Canyon Merrill | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2016-10-28 |
1871963884 | Sharryc Smith | Counselor | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2015-10-02 |
1578932141 | Brittany Simone Couch I | Case Manager/Care Coordinator | 1200 Ne 13th St, Attn: B.couch, Stars, Oklahoma City, OK 73117-1022 | 2015-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
Find all providers in zip 73117 |
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 |
---|---|---|---|---|
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 |
1801412135 | Cleborn Gossett | Peer Specialist | 721 Waterview Rd, Oklahoma City, OK 73170-1637 | 2020-06-23 |
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 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73117 |
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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.