MICHAEL SMITH (NPI# 1871969675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871969675 |
| Entity Type | Individual |
| Full Name | MICHAEL SMITH |
| Credential | PRSS |
| Practice Address |
428 S Mustang Rd Yukon OK 73099-6754 |
| Practice Telephone | 4055775477 |
| Mailing Telephone | 4055775477 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200012 | Michael Smith | Physical Therapy Assistant | 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 | 2020-09-22 |
| 1700499712 | Michael Martin Smith | Social Worker | 1020 Simonds Rd, Williamstown, MA 01267-2102 | 2020-08-28 |
| 1811509466 | Michael Browning Smith | Acupuncturist | 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 | 2020-08-17 |
| 1942862941 | Michael B Smith | Counselor | 260 Chapman Rd Ste 103, Newark, DE 19702-5410 | 2019-07-01 |
| 1003370818 | Michael Jaleon Smith | Case Manager/Care Coordinator | 14206 Long Meadow Dr, Houston, TX 77047-4597 | 2019-01-25 |
| 1699255877 | Michael R Smith | Naturopath | 23501 W Clark St, Plainfield, IL 60586-2321 | 2018-08-17 |
| 1750869384 | Michael Smith | Counselor | 4636 E 175th St, Cleveland, OH 44128-3930 | 2018-08-06 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1457878118 | Michael Smith | Physical Therapist | 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 | 2017-08-24 |
| Street Address |
428 S MUSTANG RD |
| City | YUKON |
| State | OK |
| Zip Code | 73099-6754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065006 | Richard Frederick Zielinski | Specialist | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2006-06-27 |
| 1316509300 | Tracy Dawn Starks | Counselor | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-07-01 |
| 1326509308 | Kelsey Croy | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-03-30 |
| 1740744945 | Nelson S Bundrick | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-01-22 |
| 1033615653 | Mary Newman | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2018-04-03 |
| 1295233674 | Daniel Patrick Mesa | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2018-01-31 |
| 1538675095 | Lucy Ellen Garth | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2017-12-20 |
| 1487198990 | Amanda Kay Thorpe | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-12-19 |
| 1477001758 | Amanda Hayes | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-09-15 |
| 1427401009 | Lauren Goodwin | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1427615418 | Alessandra Morgan Kelly | Peer Specialist | 7501 Meadow Lake Dr, Yukon, OK 73099-9796 | 2019-05-24 |
| 1629632161 | Jennifer Lee King | Peer Specialist | 9432 Nw 88th St, Yukon, OK 73099-9290 | 2019-04-30 |
| 1316464274 | Michael Paul Hiltzman | Peer Specialist | 738 Ranchoak Dr, Yukon, OK 73099-4220 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.