SHANA NETHERLAIN DAVIS


Address: 1624 Clayton Dr, Tahlequah, OK 74464-8004
Phone: 9188641013

SHANA NETHERLAIN DAVIS (NPI# 1861768384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861768384
Entity Type Organization
Organization Name SHANA NETHERLAIN DAVIS
Practice Address 1624 Clayton Dr
Tahlequah
OK 74464-8004
Practice Telephone 9188641013
Mailing Telephone 9188641013
Enumeration Date 2012-03-29
Last Update Date 2012-03-29
Authorized Official Name SHANA NETHERLAIN DAVIS (BHRS)
Authorized Official Telephone 9188641013
Authorized Official Credential MPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1624 CLAYTON DR
City TAHLEQUAH
State OK
Zip Code 74464-8004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
Find all providers in zip 74464

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407477920 Keetoowah Economic Development Community/Behavioral Health 16414 W 760 Rd, Tahlequah, OK 74464-1675 2020-05-06
1982061115 Rise Center for Recovery Community/Behavioral Health 223 N East Ave, Tahlequah, OK 74464-3249 2016-01-19
1922483627 Consulting and Counseling for Community Change, Pllc Community/Behavioral Health 1313 Cathy Ave, Tahlequah, OK 74464-6609 2015-07-22
1447594502 Eastern Oklahoma Youth Services, Inc. Community/Behavioral Health 511 College Ct, Tahlequah, OK 74464-4747 2012-11-15
1609147149 Lisa Ann Lillard Community/Behavioral Health 321 E South St, Tahlequah, OK 74464-4024 2012-01-13
1902177447 Ramona L Burns Community/Behavioral Health 203 Jamestown St, Tahlequah, OK 74464-6627 2012-01-13
1417244179 Melinda Shaver, Psy.d. Community/Behavioral Health 315 N College Ave, Tahlequah, OK 74464-2703 2011-07-01
1053641373 Tenkiller Behavioral Services, Inc. Community/Behavioral Health 304 N Muskogee Ave, Tahlequah, OK 74464-2738 2010-01-08
1033443296 Redefine U Community/Behavioral Health 2511 S Muskogee Ave, Tahlequah, OK 74464-5459 2009-09-21
1851521363 Eagle Ridge Institute Community/Behavioral Health 109 W 2nd Street, Tahlequah, OK 74464 2009-07-17
Find all providers in TAHLEQUAH

Competitor

Search similar providers

City TAHLEQUAH
Zip Code 74464

Improve Information

Please comment or provide details below to improve the information on SHANA NETHERLAIN DAVIS.

Dataset Information

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.

Trending Searches