EVARISTUS PENDA (NPI# 1831575315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831575315 |
| Entity Type | Individual |
| Full Name | EVARISTUS PENDA |
| Practice Address |
5911 Paramount Dr Oklahoma City OK 73162-7508 |
| Practice Telephone | 4054084073 |
| Mailing Telephone | 4054084073 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
5911 PARAMOUNT DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-7508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255833034 | Stacey Marie Stephens | Nurse's Aide | 6809 Lancer Ln, Oklahoma City, OK 73132-6033 | 2018-03-07 |
| 1811410731 | Muiz Ajibola Karim | Nurse's Aide | 12724 N Macarthur Blvd Apt I, Oklahoma City, OK 73142-2914 | 2017-07-23 |
| 1669902128 | Tracy Dinah Long | Nurse's Aide | 2629 W I 44 Service Rd Ste 202, Oklahoma City, OK 73112-3762 | 2017-06-18 |
| 1760937221 | Constance Sili Akonumbo | Nurse's Aide | 2614 N Meridian Ave, Apt. 215, Oklahoma City, OK 73107-1001 | 2016-08-24 |
| 1437546959 | Greta Trinette Butler | Nurse's Aide | 12601 N Pennsylvania Ave Apt 18, Oklahoma City, OK 73120-9400 | 2015-04-22 |
| 1669892063 | Femi Benjamin Fafunmi | Nurse's Aide | 10604 N Council Rd Apt 3, Oklahoma City, OK 73162-4318 | 2014-04-24 |
| 1487936506 | Teena Kaye Lewis | Nurse's Aide | 11205 Bel Air Pl, Oklahoma City, OK 73120-7907 | 2011-09-14 |
| 1568866374 | Dian Mohammed | Nurse's Aide | 2401 Nw 39th Expy Ste 103, Oklahoma City, OK 73112-8739 | 2014-10-22 |
| 1386801033 | Ellen Leflore | Nurse's Aide | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-20 |
| 1942467691 | Fay J Deaton | Nurse's Aide | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
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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.