VICKI LYNN MADHA (NPI# 1972047579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972047579 |
| Entity Type | Individual |
| Full Name | VICKI LYNN MADHA |
| Practice Address |
859 E Melton Drive Phn Department Jay OK 74346 |
| Mailing Address |
Po Box 350 Jay OK 74346-0350 |
| Practice Telephone | 9182531700 |
| Practice Fax Number | 9182536822 |
| Mailing Telephone | 9182531700 |
| Mailing Fax Number | 9182536822 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R0049008 | OK | Nursing Service Providers |
| Street Address |
859 E MELTON DRIVE PHN DEPARTMENT |
| City | JAY |
| State | OK |
| Zip Code | 74346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239976 | Destini L Goins | Registered Nurse | 859 E Melton Drive, Jay, OK 74346 | 2016-12-08 |
| 1326582297 | Lana Husong | Licensed Practical Nurse | 859 E Melton Drive, Jay, OK 74346 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859261 | Kathy Jo Jones | Clinic/Center | 34404 S 625 Rd, Jay, OK 74346 | 2020-07-27 |
| 1174147847 | Cory H Carroll | Pharmacist | 38776 St Hwy 127, Jay, OK 74346 | 2020-05-29 |
| 1629602362 | Alexis Noelle Gibe | Case Manager/Care Coordinator | 1015 W Washbourne, Jay, OK 74346 | 2020-03-02 |
| 1659933430 | Team Clinic Management Partners LLC | Clinic/Center | 333 E Dial St, Jay, OK 74346 | 2019-07-02 |
| 1083276869 | Team Clinic Management Partners LLC | Clinic/Center | 386 E Monroe Ave, Jay, OK 74346 | 2019-07-02 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1619476686 | Curtis J Atterbury | Physician Assistant | 55731 W 345 Rd, Jay, OK 74346 | 2018-02-06 |
| 1972037950 | Vivian Martin | Physical Therapist | 432 South 9th, Jay, OK 74346 | 2017-04-17 |
| 1407389653 | Chelcci Stapleton | Speech-Language Pathologist | 432 S. 9th St, Jay, OK 74346 | 2017-04-05 |
| 1104361096 | Cheryl Gonzalis | Licensed Practical Nurse | 859 E Melton Dr., Jay, OK 74346 | 2016-12-30 |
| Find all providers in zip 74346 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733181 | Crystal Lachelle Burton | Registered Nurse | 2101 Westmore Dr, Moore, OK 73170-7453 | 2020-09-06 |
| 1417598574 | Barbra Lynn Caldwell | Registered Nurse | 26945 E 143rd St S, Coweta, OK 74429-6685 | 2019-09-30 |
| 1679038996 | Louella Spottedwolf | Registered Nurse | Claremore Indian Hospital, 101 S. Moore Avenue, Claremore, OK 74019 | 2019-02-01 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1639682958 | Melissa M Jorgenson | Registered Nurse | 13071 S 572 Rd, Miami, OK 74354-5215 | 2017-11-08 |
| 1063955276 | Rebecca A Kidwell | Registered Nurse | 1024 Lenape Drive, Nowata, OK 74048 | 2016-11-21 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1710273610 | Andrea Monique Baker | Registered Nurse | 1631-a, East Highway 66, Elreno, OK 73036-5769 | 2011-06-20 |
| 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.