TANNA KING (NPI# 1902354434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902354434 |
| Entity Type | Individual |
| Full Name | TANNA KING |
| Practice Address |
507 Dewey Ave Poteau OK 74953-4215 |
| Practice Telephone | 9186490172 |
| Practice Fax Number | 9186490315 |
| Mailing Telephone | 9186490172 |
| Mailing Fax Number | 9186490315 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 0000000 | 05 |
| Street Address |
507 DEWEY AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902233182 | Debra Bradberry | Behavioral Analyst | 507 Dewey Ave, Poteau, OK 74953-4215 | 2013-10-02 |
| 1811421373 | Brittany Waugh | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-04-11 |
| 1669904165 | Jordan Wilburn | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-04-03 |
| 1033659792 | Linzy Ann Wylie | Case Manager/Care Coordinator | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-28 |
| 1841730546 | Ashlee Taylor | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-28 |
| 1588103014 | Nicole Aplara | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-16 |
| 1871032607 | Rebecca Mccollum | Clinic/Center | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-13 |
| 1013459668 | Kinsey Akers | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2016-11-14 |
| 1962958983 | Penelope Jane Adams | Case Manager/Care Coordinator | 507 Dewey Ave, Poteau, OK 74953-4215 | 2016-08-30 |
| 1427403823 | Thelena Scott | Counselor | 507 Dewey Ave, Poteau, OK 74953 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346841 | Ronnie Williford | Case Manager/Care Coordinator | 14764 Green Top Rd, Poteau, OK 74953-7380 | 2020-05-05 |
| 1902385578 | Ashlee Dawn Johnson | Case Manager/Care Coordinator | 2704 N Broadway St, Poteau, OK 74953-5402 | 2018-08-14 |
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1518405315 | Trena Medlock | Case Manager/Care Coordinator | 401 N Church St # K, Poteau, OK 74953-3502 | 2017-02-01 |
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1285026203 | Beverly Thomas | Case Manager/Care Coordinator | 34182 Country Club Ln, Poteau, OK 74953-9123 | 2015-02-27 |
| 1760880272 | Amber Nichole Hart | Case Manager/Care Coordinator | 401 Deertail Dr, Poteau, OK 74953-5526 | 2014-12-15 |
| 1366857823 | Michay Lee Gibson | Case Manager/Care Coordinator | 34242 Choctaw Ln, Poteau, OK 74953-5264 | 2014-06-24 |
| 1003229956 | Jerilyn Neal | Case Manager/Care Coordinator | 502 Hughes Dr, Poteau, OK 74953-2045 | 2014-06-09 |
| Find all providers in POTEAU | ||||
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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.