JACQUELINE TAYLOR RICHARDSON PADUA (NPI# 1033688486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033688486 |
| Entity Type | Individual |
| Full Name | JACQUELINE TAYLOR RICHARDSON PADUA |
| Practice Address |
1108 N Wheeler Ave Sallisaw OK 74955-2227 |
| Practice Telephone | 9187755513 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1108 N WHEELER AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568650463 | Candace Rae Jeffries Nichols | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2007-10-05 |
| 1477055234 | Brenda Belledean Taylor | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-03-07 |
| 1609389733 | Kyle Wilhite | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-11-11 |
| 1619496932 | Caroline Nicole Barker | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-09-18 |
| 1962929893 | Amanda Barnes | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-22 |
| 1679098917 | Ava Lee Poindexter | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1093230203 | Taylor Howell | Peer Specialist | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1891210472 | Holli Deanna Reherman | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-04 |
| 1811446099 | Dena Pace | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-09-28 |
| 1447705249 | Casey Hale | Case Management | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1619383783 | Miriam Wall | Counselor | 205 S J T Stites, Sallisaw, OK 74955-9301 | 2014-07-09 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1497005755 | Johnny Dale Dority I | Counselor | 907 S Walnut St, Sallisaw, OK 74955-6841 | 2012-09-14 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| 1124391859 | Jarrod Neal James | Counselor | 205 South J.t. Stites, Sallisaw, OK 74955 | 2012-02-10 |
| 1407160195 | Sarah Brook Jackson | Counselor | Hc 61 Box 272-4, Sallisaw, OK 74955-9440 | 2010-08-05 |
| 1174842215 | Jessica Randolph | Counselor | 205 S. Jt Stites, Sallisaw, OK 74955-9301 | 2010-05-28 |
| 1164741583 | June Flute | Counselor | 1117 Brown St., Sallisaw, OK 74955 | 2010-05-25 |
| Find all providers in SALLISAW | ||||
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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.