JEANA UNDERWOOD (NPI# 1932578648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932578648 |
| Entity Type | Individual |
| Full Name | JEANA UNDERWOOD |
| Credential | RN |
| Practice Address |
1511 W Chickasaw Ave Sallisaw OK 74955-7201 |
| Practice Telephone | 9189267640 |
| Practice Fax Number | 9189267642 |
| Mailing Telephone | 9189267640 |
| Mailing Fax Number | 9189267642 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
118086 | OK | Nursing Service Providers |
| Street Address |
1511 W CHICKASAW AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677479 | Combined Home Health Care, LLC | Home Health | 1511 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194047167 | Sherry Lynn Rouse | Registered Nurse | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
| 1255728564 | Melissa Wilson | Registered Nurse | 19437 N 4230 Rd, Antlers, OK 74523-0753 | 2015-04-24 |
| 1578900791 | Diane Reagle | Registered Nurse | 604 E Glendale St, Broken Arrow, OK 74011-3597 | 2013-05-29 |
| 1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
| 1144388547 | Greater Dimensions Health Agency | Registered Nurse | 7812 Dripping Springs Ln, Oklahoma City, OK 73150-8326 | 2006-12-05 |
| 1861403271 | Jeana Kelly Fowler | Registered Nurse | 1449 W Main, Pawhuska, OK 74056 | 2006-08-10 |
| 1235154022 | Unity Homecare, LLC | Registered Nurse | 2610 Nw Expressway Ste A, Oklahoma City, OK 73112 | 2006-07-13 |
| 1346800620 | Felix Peter Kasalika | Registered Nurse | 5350 E 46th St Ste 121, Tulsa, OK 74135-6601 | 2019-06-18 |
| 1578036893 | Gayla Brum | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-01-09 |
| 1699247213 | Stephanie Mae Porter | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2018-12-20 |
| 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.