SAMANTHA NELSON (NPI# 1013393438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013393438 |
| Entity Type | Individual |
| Full Name | SAMANTHA NELSON |
| Practice Address |
103 1/2 W Main St Wilburton OK 74578-4043 |
| Practice Telephone | 9184657890 |
| Mailing Telephone | 9184657890 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222673 | Samantha Nelson | Technician | 13 Witek Dr, Montrose, WV 26283-7504 | 2020-07-20 |
| 1518424936 | Samantha Ann Nelson | Counselor | 6598 Brush St, North Branch, MI 48461-8842 | 2019-02-21 |
| 1316494826 | Samantha Nelson | Physician Assistant | 1500 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-2008 | 2016-09-01 |
| 1235531336 | Samantha Nelson | Technician, Other | 10948 Raley Creek Dr S, Jacksonville, FL 32225-2324 | 2014-09-19 |
| 1265703946 | Samantha L Nelson | Licensed Practical Nurse | 119 3rd Ave, Wayland, NY 14572-1230 | 2012-01-26 |
| 1487260543 | Samantha Lee Nelson | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-23 |
| 1497368443 | Samantha Marie Nelson | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-08-28 |
| 1063044345 | Samantha Nelson | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-02-05 |
| 1548756273 | Samantha Kristine Nelson | Peer Specialist | 1820 University Ave, Riverside, CA 92507-5355 | 2018-07-05 |
| 1194177832 | Samantha Nelson | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2016-07-06 |
| Street Address |
103 1/2 W MAIN ST |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487089769 | Lakesa Mace | Clinic/Center | 103 1/2 W Main St, Wilburton, OK 74578-4043 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487089769 | Lakesa Mace | Clinic/Center | 103 1/2 W Main St, Wilburton, OK 74578-4043 | 2013-09-05 |
| 1255567186 | S-okla Psychological Services, Inc. | Clinic/Center | 310 W Main St, Suite D, Wilburton, OK 74578-4008 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| 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.