DEBRA DAUGOMAH (NPI# 1003356114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003356114 |
| Entity Type | Individual |
| Full Name | DEBRA DAUGOMAH |
| Practice Address |
221 N Wewoka Ave Wewoka OK 74884-2221 |
| Mailing Address |
Po Box 662 Purcell OK 73080-0662 |
| Practice Telephone | 4052579030 |
| Practice Fax Number | 4052579031 |
| Mailing Telephone | 4055271785 |
| Mailing Fax Number | 4055271084 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
221 N WEWOKA AVE |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770681207 | Jenny Goodridge | Counselor | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2006-09-20 |
| 1568093839 | Paula Motley | Community Health Worker | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2020-01-27 |
| 1093286270 | Kymberli Ogle | Behavior Technician | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2018-12-16 |
| 1710400130 | Kellie Snow | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2017-07-18 |
| 1043768112 | Shelly Upchurch-berning | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-09-16 |
| 1912355538 | Laura Allison | Social Worker | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-05-25 |
| 1396105391 | Amanda Lenora | Counselor | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-03-03 |
| 1811372865 | Janet Baggett | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2015-07-20 |
| 1447644323 | Yco Tulsa, Inc. | Clinic/Center | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2015-03-27 |
| 1700274719 | Jacqueline Bush | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942702220 | Kathryn Nicole Azlin | Case Manager/Care Coordinator | 12530 Ns 3660, Wewoka, OK 74884-6021 | 2018-03-02 |
| 1710400130 | Kellie Snow | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2017-07-18 |
| 1043768112 | Shelly Upchurch-berning | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-09-16 |
| 1811372865 | Janet Baggett | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2015-07-20 |
| 1700274719 | Jacqueline Bush | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-12-27 |
| 1255740825 | Walter Mcpheeters | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-08-08 |
| 1760891295 | Amanda Kauk | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-08-08 |
| 1457773228 | Brenda Hall | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-01-14 |
| 1790120517 | Babette S Rossen | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
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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.