MISS GAY LYNN PETERSON (NPI# 1023214038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023214038 |
| Entity Type | Individual |
| Full Name | MISS GAY LYNN PETERSON |
| Practice Address |
323 W 6th St Okmulgee OK 74447-5019 |
| Mailing Address |
1116 S Florida Ave Okmulgee OK 74447-6200 |
| Practice Telephone | 9187569250 |
| Mailing Telephone | 9187564512 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE | 300522336 | 01 |
| Street Address |
323 W 6TH ST |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902021819 | Mark Fry | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2007-04-16 |
| 1619501335 | Ashley Jordan Bruner | Peer Specialist | 323 W 6th St, Okmulgee, OK 74447-5019 | 2020-03-03 |
| 1912354036 | Helen Willet | Case Manager/Care Coordinator | 323 W 6th St, Okmulgee, OK 74447-5019 | 2016-05-18 |
| 1336543255 | Matthew J Dodson | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2014-10-21 |
| 1972935989 | Darby Harrell | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2013-07-31 |
| 1073870382 | Frederick Francis | Registered Nurse | 323 W 6th St, Okmulgee, OK 74447-5019 | 2012-04-12 |
| 1861797169 | Tonya Cheire James | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2011-01-18 |
| 1548570500 | Dawn Michelle Bunch | Counselor | 323 W 6th St, Okmulgee, OK 74447-5019 | 2010-10-08 |
| 1154596435 | Roma Snowball | Social Worker | 323 W 6th St, Okmulgee, OK 74447-5019 | 2008-04-28 |
| 1437320249 | Gary Fred Blank | Social Worker | 323 W 6th St, Okmulgee, OK 74447-5019 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417379173 | Anthony Allen | Counselor | 701 N Prairie Ave, Okmulgee, OK 74447-7616 | 2014-01-15 |
| 1316144272 | Creoks Behavioral Health | Counselor | 400 W 6th St, Okmulgee, OK 74447-5000 | 2007-07-02 |
| 1194739334 | Michael Keith Burnside | Counselor | 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 | 2006-07-27 |
| 1114947082 | Daley Tearl | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2006-07-20 |
| 1881987899 | Holly Trunk | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-05-24 |
| 1396977724 | Theresa M Hall | Counselor | 114 N Grand Ave, Okmulgee, OK 74447-4013 | 2009-08-18 |
| 1023244944 | Thomasine L. Fife | Counselor | 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 | 2009-06-05 |
| 1003052465 | Leslie Lynn Crow | Counselor | 100 W 7th St, Suite 102, Okmulgee, OK 74447-5007 | 2009-01-06 |
| 1659560043 | Pamela Gail Sparks | Counselor | 106 W 5th St, Okmulgee, OK 74447-7301 | 2007-10-22 |
| 1962413070 | Barry Kent Clark Jr. | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2006-08-11 |
| Find all providers in OKMULGEE | ||||
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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.