RENITA HAMMACK (NPI# 1861960304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861960304 |
| Entity Type | Individual |
| Full Name | RENITA HAMMACK |
| Practice Address |
22170 N 4 Mile Rd Fort Gibson OK 74434-6096 |
| Practice Telephone | 9185777509 |
| Mailing Telephone | 9185777509 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
22170 N 4 MILE RD |
| City | FORT GIBSON |
| State | OK |
| Zip Code | 74434-6096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326323296 | Janet Hulbert | Occupational Therapist | 1409 Saddlebrooke Dr, Fort Gibson, OK 74434 | 2011-10-11 |
| 1356643936 | Justin Matthew Wedman | Pharmacist | 114 N. Lee St., Fort Gibson, OK 74434 | 2010-12-02 |
| 1396980546 | Walker & Walker P.l.l.c. | Dentist | 106 Lone Oak Cr, Ft. Gibson, OK 74434 | 2008-12-02 |
| 1548305857 | Christopher Back | Family Medicine | 129 N Lee St., Fort Gibson, OK 74434 | 2007-02-21 |
| 1982794442 | Wanda Ann Teague | Speech-Language Pathologist | 500 South Ross Ave., Fort Gibson, OK 74434 | 2006-10-13 |
| 1891898912 | Scotts Pharmacy LLC | Pharmacy | 1201 S Lee St, Fort Gibson, OK 74434 | 2006-09-06 |
| 1831206671 | Charles Robert Mutch | Family Medicine | 104 Lone Oak Circle, Ft. Gibson, OK 74434 | 2006-08-25 |
| 1073511184 | Brandon Medical, LLC | Prosthetic/Orthotic Supplier | 110 North Lee Street, Fort Gibson, OK 74434 | 2005-07-12 |
| 1265761381 | Holly Jean Dawson | Obstetrics & Gynecology | 108 Lone Oak Cir, Fort Gibson, OK 74434 | 2009-12-19 |
| 1790892529 | Donald M Elgin | Family Medicine | 104 Lone Oak Circle, Ft. Gibson, OK 74434 | 2006-08-25 |
| Find all providers in zip 74434 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274518 | Sally Lim | Technician | 1212 E Poplar St Apt 20, Fort Gibson, OK 74434-8375 | 2018-11-14 |
| 1265900849 | Johnice Nunley | Technician | 4982 W 797 Rd, Fort Gibson, OK 74434-7204 | 2018-11-13 |
| 1093283962 | Lynn Mccomb | Technician | 4682 W Weeping Rock Rd, Fort Gibson, OK 74434-7205 | 2018-11-08 |
| 1770051252 | Michelle Wallace | Technician | 1515 Sumac Rd, Fort Gibson, OK 74434-7512 | 2018-11-02 |
| 1073081519 | Cindy Farmer | Technician | 612 W Hickory Ave, Fort Gibson, OK 74434-8917 | 2018-11-02 |
| 1700355112 | Casey Bear | Technician | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2018-11-14 |
| 1144799552 | Denise I Littlepage | Technician | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2018-11-14 |
| 1184193708 | Cynthia A Andrews | Technician | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2018-11-14 |
| 1962970558 | Kathleen Pinion | Technician | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2018-11-13 |
| 1265900237 | Melissa Kirkendall | Technician | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2018-11-08 |
| Find all providers in FORT GIBSON | ||||
| City | FORT GIBSON |
| Zip Code | 74434 |
Please comment or provide details below to improve the information on RENITA HAMMACK.
| 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.