TESSA RANAE LINN (NPI# 1851859185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851859185 |
| Entity Type | Individual |
| Full Name | TESSA RANAE LINN |
| Practice Address |
21918 Douglas Ave Edmond OK 73012-3218 |
| Practice Telephone | 2146748939 |
| Mailing Telephone | 2146748939 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
21918 DOUGLAS AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
|---|---|---|---|---|
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1679184717 | Sacy Stegall | Peer Specialist | 2902 Amanda Dr, Edmond, OK 73034-8971 | 2020-08-12 |
| 1225656309 | Preston Rody | Peer Specialist | 17861 Prairie Sky Way, Edmond, OK 73012-6628 | 2020-07-06 |
| 1730704156 | Ace Parchami | Peer Specialist | 4128 Nw 155th St, Edmond, OK 73013-9139 | 2020-06-11 |
| 1912568460 | Amber Peitzmeier | Peer Specialist | 16009 Katie Ridge Dr, Edmond, OK 73013-1498 | 2019-06-25 |
| 1326601683 | Raymond N Baker | Peer Specialist | 2309 Tuscan Ln, Edmond, OK 73034-6985 | 2019-04-22 |
| 1063977395 | Kyle Ray Hankins | Peer Specialist | 313 E Edwards St, Edmond, OK 73034-4528 | 2019-01-31 |
| 1275006975 | Brady Reynolds | Peer Specialist | 1301 Shalamar Rd, Edmond, OK 73013-6026 | 2019-01-04 |
| 1548731789 | Michael Lacy | Peer Specialist | 4104 Shiloh Valley Rd, Edmond, OK 73034-6912 | 2018-12-16 |
| 1073084554 | Benjamin Ortiz | Peer Specialist | 1920 E 2nd St Apt 2714, Edmond, OK 73034-6379 | 2018-12-10 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on TESSA RANAE LINN.
| 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.