LATICIA D VACCA (NPI# 1942808274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942808274 |
| Entity Type | Individual |
| Full Name | LATICIA D VACCA |
| Practice Address |
210 N Magnolia Stratford OK 74872-4808 |
| Practice Telephone | 5807595025 |
| Mailing Telephone | 5807595025 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0811253 | OK | Behavioral Health & Social Service Providers |
| Street Address |
210 N MAGNOLIA |
| City | STRATFORD |
| State | OK |
| Zip Code | 74872-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780137208 | Rhonda Prichard | Case Manager/Care Coordinator | 200 Cottonwood Circle, Stratford, OK 74872 | 2016-08-02 |
| 1114309317 | Destiny Ruosa Mitchell | Nurse Practitioner | 217 W Smith Street, Stratford, OK 74872 | 2015-06-24 |
| 1285813089 | Tanya June Hudson | Nurse Practitioner | 217 W. Smith Street, Stratford, OK 74872 | 2007-10-29 |
| 1124160254 | Stratford Public Schools | Local Education Agency (LEA) | 341 N. Elm, Stratford, OK 74872 | 2007-02-13 |
| 1649224619 | Martin J Kubier | Physician Assistant | 217 W Smith, Stratford, OK 74872 | 2006-05-22 |
| 1720422785 | Mercy Hospital Ada, Inc | Clinic/Center | 217 West Smith St, Stratford, OK 74872 | 2013-04-22 |
| 1346306644 | Medical Center of Stratford | Family Medicine | 217 W Smith, Stratford, OK 74872 | 2006-12-29 |
| 1801003934 | Valley View Regional Hospital | Clinic/Center | 217 West Smith St, Stratford, OK 74872-0001 | 2007-05-17 |
| 1669559746 | Jason T Mcdonald | Pharmacist | 120 West Main, Stratford, OK 74872-0150 | 2006-11-01 |
| 1538230354 | Bayless Drug Inc | Durable Medical Equipment & Medical Supplies | 120 W Main, Stratford, OK 74872-0150 | 2006-11-13 |
| Find all providers in zip 74872 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871769182 | Meredith E Weber | Psychologist | 42 E Laurel Rd, Suite 1100, Stratford, NJ 08084-1354 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136455 | Kristin Clouser | Psychologist | 10141 S 92nd East Ave, Tulsa, OK 74133-6932 | 2020-02-12 |
| 1891148045 | Emily Anderson | Psychologist | 10220 Lyndon Rd, Oklahoma City, OK 73120-4206 | 2016-07-22 |
| 1306216742 | Christopher John Klein | Psychologist | 6216 S Lewis Ave Ste 138, Tulsa, OK 74136-1084 | 2015-09-28 |
| 1952783342 | Lisa Pate | Psychologist | 407 Hughes Dr, Poteau, OK 74953-5437 | 2015-06-23 |
| 1700286069 | Kimberly Tedford | Psychologist | 117 Elwood Dr, Edmond, OK 73013-4413 | 2014-08-23 |
| 1174934350 | Stacy Mckinney | Psychologist | 18000 Highway 105, Meridian, OK 73058-9671 | 2014-05-09 |
| 1528402989 | Dede Marann Stephens | Psychologist | 5085 S. Hwy 48, Coleman, OK 73432-0219 | 2013-04-29 |
| 1134469505 | Sue E Hoppe | Psychologist | 155 West Peterson Drive, Mead, OK 73449 | 2013-02-22 |
| 1679819015 | Lacori C Bryant | Psychologist | 100 W Wilshire Blvd # 220, Oklahoma City, OK 73116-9050 | 2012-12-12 |
| 1528331220 | Karen Louise Reese | Psychologist | 313 N Aster Pl, Broken Arrow, OK 74012-8583 | 2012-02-12 |
| 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.