TOMMY LEN WAITE (NPI# 1881291946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881291946 |
| Entity Type | Individual |
| Full Name | TOMMY LEN WAITE |
| Practice Address |
1624 Cimarron Plz Stillwater OK 74075-3467 |
| Practice Telephone | 4053722202 |
| Practice Fax Number | 4054453780 |
| Mailing Telephone | 4053722202 |
| Mailing Fax Number | 4054453780 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W Glencoe Rd, Stillwater, OK 740751705 | 4056123027 |
| Street Address |
1624 CIMARRON PLZ |
| City | STILLWATER |
| State | OK |
| Zip Code | 74075-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104106749 | Tamara S. Defranc | Counselor | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2011-08-26 |
| 1942808464 | Kayla Dawn Crews | Peer Specialist | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-10-16 |
| 1225641988 | Nancy Kay Irving | Peer Specialist | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-08-24 |
| 1134747751 | Jordan Smith | Counselor | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-07-09 |
| 1295353001 | Alexandria Ann Huff | Licensed Practical Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-07-08 |
| 1073139309 | Whitney Nicole Hampton | Case Manager/Care Coordinator | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-06-23 |
| 1336765189 | Calye Morgan Bowen | Counselor | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-06-17 |
| 1730701012 | Harley Elizabeth Ward | Peer Specialist | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-05-10 |
| 1356960421 | Amy Jean Hoffman | Registered Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-04-09 |
| 1932737475 | Amanda Mae Ford | Licensed Practical Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
| 1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
| 1740475375 | Paula Dawn Evans | Marriage & Family Therapist | 110 E Lakeview Drive, Stillwater, OK 74075 | 2007-09-06 |
| 1194942102 | Trey Ratzlaff | Physical Therapy Assistant | 1810 N Perkins Road, Stillwater, OK 74075 | 2007-04-19 |
| 1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
| 1033210851 | Robert Anton Crotty | Podiatrist | 120 N Perkins Rd, Ste A, Stillwater, OK 74075 | 2006-09-26 |
| 1235242074 | Ross Hospice of Ponca City, LLC | Hospice Care, Community Based | 1020 N Boomer Rd Ste 1, Stillwater, OK 74075 | 2006-08-16 |
| 1033156559 | Hac Inc | Pharmacy | 421 N. Main, Stillwater, OK 74075 | 2006-06-01 |
| 1912404583 | Hunter Elizabeth Schlosser | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2018-04-10 |
| 1295246213 | Melissa Kay Wilson-watts | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2017-10-17 |
| Find all providers in zip 74075 | ||||
| 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 |
|---|---|---|---|---|
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| 1457962722 | Keyata I Wright | Peer Specialist | 2502 N Glenwood Dr, Stillwater, OK 74075-2624 | 2020-08-11 |
| 1639702277 | Tresor Mason | Peer Specialist | 3003 E 4th Ave Unit 22, Stillwater, OK 74074-8366 | 2020-02-21 |
| 1437794542 | Paige Dannette Morse | Peer Specialist | 1009 E Brooke Ave, Stillwater, OK 74075-2907 | 2019-11-12 |
| 1477197267 | Cortney Jackson | Peer Specialist | Sioc 1624 Cimarron Plaza, Stillwater, OK 74075-3467 | 2019-11-05 |
| 1063060630 | John Thomas Jardot | Peer Specialist | 4100 W 19th Ave Apt H104, Stillwater, OK 74074-1610 | 2019-08-27 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1811559354 | Sean Matthew Boehm | Peer Specialist | 3214 E Peachtree Ave, Stillwater, OK 74074-6407 | 2019-07-04 |
| 1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
| 1942808464 | Kayla Dawn Crews | Peer Specialist | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-10-16 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74075 |
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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.