DEVON SUSSON PRAYTOR (NPI# 1023651932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023651932 |
| Entity Type | Individual |
| Full Name | DEVON SUSSON PRAYTOR |
| Practice Address |
12716 Ne 36th St Spencer OK 73084-9167 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140-3589 |
| Practice Telephone | 4057693301 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 7607 | OK | Pharmacy Service Providers |
| Street Address |
12716 NE 36TH ST |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-9167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820550 | Douglas Lynn Young | Internal Medicine | 12716 Ne 36th St, Spencer, OK 73084-9103 | 2005-12-01 |
| 1639779986 | Betsy A Mathew | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-27 |
| 1508465238 | Danielle Stephania Gonzalez | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-23 |
| 1275159675 | Genae Blakely | Licensed Practical Nurse | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-22 |
| 1548885718 | Community Health Centers, Inc. | Community/Behavioral Health | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-12 |
| 1003453580 | Ira Arthur Thomas Jr. | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-12-04 |
| 1053954966 | Lashell Currie | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1538721626 | Natalie E Helpern | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-06-28 |
| 1891251179 | Angelina Anaya-hernandez | Pharmacist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-02-12 |
| 1336622562 | Savannah Kaye Kappelle | Dental Hygienist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607890 | Debra Lambert | Pharmacy Technician | 3045 Arnoldsburg Rd, Spencer, WV 25276-9575 | 2016-05-16 |
| 1053954966 | Lashell Currie | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1487002952 | Linda Webster | Pharmacy Technician | 218 Market Street, Fruth Pharmacy #18, Spencer, WV 25276-1700 | 2016-05-25 |
| 1942657465 | April Deel | Pharmacy Technician | 218 Market St, Spencer, WV 25276-1316 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223911 | Lindsey Brelynn Pulchny | Pharmacy Technician | 744 S Mississippi Ave Ste A, Atoka, OK 74525-3356 | 2020-07-27 |
| 1396243580 | Linda Joann Falling | Pharmacy Technician | 1500 E Downing St Ste 106, Tahlequah, OK 74464-3354 | 2018-01-23 |
| 1598140816 | Austin Scott Klososky | Pharmacy Technician | 13301 S Pennsylvania Ave, Oklahoma City, OK 73170-5007 | 2015-07-28 |
| 1992184436 | Veronica Lavon Austin | Pharmacy Technician | 6305 Ne 63rd St, Oklahoma City, OK 73141-9681 | 2015-05-28 |
| 1619194453 | Heritage Park Pharmacy, LLC | Pharmacy Technician | 6908 E Reno Ave Ste 101, Midwest City, OK 73110-2120 | 2007-04-20 |
| 1679653570 | Gayle Clark | Pharmacy Technician | 815 E 6th Street, Tishomingo, OK 73460 | 2006-10-16 |
| 1134210016 | Mechelle Lynnette Bentley | Pharmacy Technician | 301 West Grand, Tonis Westside Pharmacy, Ponca City, OK 74601 | 2006-09-27 |
| 1619068426 | Tiffany A Buckley | Pharmacy Technician | 4734 S 252nd West Ave, Sand Springs, OK 74063-4319 | 2006-09-27 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1679677959 | Anita Lynnette Reynolds | Pharmacy Technician | 116 S Wilson, Vinita, OK 74301 | 2006-09-08 |
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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.