TANYA WILSON (NPI# 1023471638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023471638 |
| Entity Type | Individual |
| Full Name | TANYA WILSON |
| Credential | LPN |
| Practice Address |
112 W Main St Purcell OK 73080-4220 |
| Mailing Address |
Po Box 123 Wayne OK 73095-0123 |
| Practice Telephone | 4055271785 |
| Mailing Telephone | 4053062716 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661024 | Tanya Lee Wilson | Technician | 1968 Upper Little Birch Rd, Sutton, WV 26601-3781 | 2020-08-25 |
| 1760715437 | Tanya Dawn Wilson | Massage Therapist | 1110 Ne Adams St, Camas, WA 98607-2017 | 2009-09-14 |
| 1376785311 | Tanya L Wilson | Behavioral Analyst | 1635 Forest Hill Ct, Crofton, MD 21114-1813 | 2009-04-06 |
| 1871613919 | Tanya Tanika Wilson | Speech-Language Pathologist | 521 Woodlock Ln, Columbia, SC 29229-7167 | 2007-03-30 |
| 1952823791 | Tanya Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-13 |
| 1720478563 | Tanya E Wilson | Nurse Practitioner | 2600 Glasgow Avenue, Suite 100, Newark, DE 19702-4773 | 2015-02-02 |
| 1366887564 | Tanya Kezia Danielle Wilson | Family Medicine | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2013-05-02 |
| 1508009242 | Tanya M Wilson | Counselor | 8800 Roswell Rd., Ste. A135, Sandy Springs, GA 30350 | 2009-04-10 |
| 1790821486 | Tanya Michelle Wilson | Case Manager/Care Coordinator | 2001 The Alameda, Alliance for Community Care Service Team Adult Outpatie, San Jose, CA 95126-1138 | 2007-01-29 |
| Street Address |
112 W MAIN ST |
| City | PURCELL |
| State | OK |
| Zip Code | 73080-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923490 | Olivia Pierce | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2018-12-17 |
| 1528542271 | Amanda Taralee Mcreynolds | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2018-09-19 |
| 1144707142 | John Scott Conrad | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2018-07-23 |
| 1104334309 | Amanda Heij | Social Worker | 112 W Main St, Purcell, OK 73080-4220 | 2018-01-22 |
| 1801305545 | Rachel Chapman | Social Worker | 112 W Main St, Purcell, OK 73080-4220 | 2017-09-26 |
| 1801317987 | Lynn Davis | Community Health Worker | 112 W Main St, Purcell, OK 73080-4220 | 2017-06-29 |
| 1750833422 | Jessica Hernandez | Social Worker | 112 W Main St, Purcell, OK 73080-4220 | 2016-10-28 |
| 1831555341 | Jan Plavchak | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2016-01-13 |
| 1366818452 | Kimberly Bacon | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2015-08-12 |
| 1356684906 | Megan Killman | Rehabilitation Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1508195397 | Custom Dental of Purcell, Pllc | Dentist | 700 Chandler Rd., Purcell, OK 73080 | 2009-12-08 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| Find all providers in zip 73080 | ||||
| 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 |
|---|---|---|---|---|
| 1750677563 | Sarah Riggs | Case Manager/Care Coordinator | 112 W Main St, Purcell, OK 73080-4220 | 2011-06-21 |
| 1972802312 | Stephanie Oden | Case Manager/Care Coordinator | 112 W Main St, Purcell, OK 73080-4220 | 2011-03-24 |
| 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 |
| 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.