SARA BRADLEY (NPI# 1982116638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982116638 |
Entity Type | Individual |
Full Name | SARA BRADLEY |
Practice Address |
1608 Se 7th St Moore OK 73160-8340 |
Mailing Address |
2625 General Pershing Blvd Oklahoma City OK 73107-6437 |
Practice Telephone | 4056939853 |
Mailing Telephone | 4059456238 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750918256 | Sara Bradley | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-03-25 |
1295370443 | Sara Bradley | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-12 |
1558595876 | Sara Bradley | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-05-14 |
1487873808 | Sara M Bradley | Internal Medicine | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2007-04-24 |
Street Address |
1608 SE 7TH ST |
City | MOORE |
State | OK |
Zip Code | 73160-8340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
Find all providers in zip 73160 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467934687 | Whitney Dawn Bell | Peer Specialist | 1429 N Norman Ave, Moore, OK 73160-1749 | 2018-09-04 |
1518492750 | Veronica Leach | Peer Specialist | 2952 Poplar Dr, Moore, OK 73160-3231 | 2017-04-25 |
1538693965 | Tiffini Hankins | Peer Specialist | 840 Nw 23rd St, Moore, OK 73160-1211 | 2017-04-12 |
1700256732 | Ian Digby | Peer Specialist | 116 Sw 14th St, Moore, OK 73160-5321 | 2015-10-02 |
1619444726 | Thomas Webb | Peer Specialist | 951 W Main St, Moore, OK 73160-2246 | 2018-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
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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.