VICTORIA MADERAZO (NPI# 1851868798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851868798 |
Entity Type | Individual |
Full Name | VICTORIA MADERAZO |
Practice Address |
201 S Garnett Rd Tulsa OK 74128-1805 |
Mailing Address |
3630 S Oswego Ave Tulsa OK 74135-2214 |
Practice Telephone | 9184384257 |
Mailing Telephone | 9182908069 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2019-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
93295 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
201 S GARNETT RD |
City | TULSA |
State | OK |
Zip Code | 74128-1805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
1710455282 | Jordan Hearod | Case Manager/Care Coordinator | 201 S Garnett Rd, Tulsa, OK 74128-1800 | 2018-11-02 |
1316349269 | Kami Robinson | Counselor | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2014-09-23 |
1831533421 | Charles D. Van Tuyl, Ph.d., M.d. | Psychiatry & Neurology | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2013-04-25 |
1073854238 | Cyndee Suzanne Johnson | Case Manager/Care Coordinator | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2013-03-12 |
1982943445 | Brookhaven Hospital | Community Based Residential Treatment Facility, Mental Illness | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2013-02-04 |
1396080347 | Karen S Lacy | Counselor | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2012-12-03 |
1801146428 | Erika Beth Link-siemens | Counselor | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2012-09-11 |
1417234709 | Sarah J Williams | Counselor | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2011-11-15 |
1427333624 | M.j. Clausen | Counselor | 201 S Garnett Rd, Tulsa, OK 74128-1805 | 2011-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
1548700826 | Kristina Marcotte | Case Management | 9756 E 4th Pl, Tulsa, OK 74128-1247 | 2017-03-06 |
Find all providers in zip 74128 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
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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.