CASEY LAYNE WISE (NPI# 1972028132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972028132 |
| Entity Type | Individual |
| Full Name | CASEY LAYNE WISE |
| Practice Address |
1044 N Narcissus Ave Broken Arrow OK 74012-1468 |
| Practice Telephone | 9185058209 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1044 N NARCISSUS AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508209289 | Jennifer Leigh Gilbert | Counselor | 1800 N 28th St, Broken Arrow, OK 74014-4900 | 2013-04-11 |
| 1659644979 | Dan Cross | Counselor | 2408 S Redwood Ave, Broken Arrow, OK 74012-9466 | 2012-02-16 |
| 1124306337 | William Hanford Morgan II | Counselor | 2001 W Princeton Cir, # 1137, Broken Arrow, OK 74012-5011 | 2011-07-22 |
| 1184935280 | Rickey Joe Sparks | Counselor | 904 W South Park Blvd, Broken Arrow, OK 74011-2042 | 2010-06-23 |
| 1942477377 | Daniel Morris | Counselor | 9179 S 256th East Ave, Broken Arrow, OK 74014-5536 | 2008-05-14 |
| 1992983407 | Richard David Davidson | Counselor | 3718 S Elm Pl, Suite 3718, Broken Arrow, OK 74011-1803 | 2008-02-06 |
| 1245790880 | Jonathan David Angieri I | Counselor | 1100 S 3rd St, Broken Arrow, OK 74012-5543 | 2019-03-20 |
| 1124346317 | Tracey Middleton Jennings | Counselor | 8937 S Garnett Rd, Broken Arrow, OK 74012-6004 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341337 | Juan Miguel Jimenez | Counselor | 713 Nw 139th St, Edmond, OK 73013-1912 | 2020-09-22 |
| 1790396042 | Amazing Life Behavioral Health and Addiction Services | Counselor | 324 N 19th St Ste 101, Guthrie, OK 73044-2117 | 2020-08-11 |
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1417565243 | Angela Darlene Brooks | Counselor | 3605 Ne 142nd Ct, Edmond, OK 73013-7224 | 2020-07-17 |
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1710502505 | Sally Smith | Counselor | 4525 Southcreek Rd, Moore, OK 73165-7359 | 2020-06-08 |
| 1487273223 | Maxwell Brown Enterprise, LLC | Counselor | 250 E Apache St, Tulsa, OK 74106-3702 | 2020-04-12 |
| 1679105068 | Audrey June Halfacre | Counselor | 4803 Ridge St, Tahlequah, OK 74464-5644 | 2020-02-04 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.