MRS. ELLAGENE ELIZABETH CRUZ (NPI# 1063758027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758027 |
| Entity Type | Individual |
| Full Name | MRS. ELLAGENE ELIZABETH CRUZ |
| Credential | APN |
| Practice Address |
1602 Sw 82nd St Lawton OK 73505-9012 |
| Practice Telephone | 5805360077 |
| Mailing Telephone | 5805360077 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
50933 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1602 SW 82ND ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689622615 | Southwestern Medical Center, LLC | Psychiatric Unit | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2006-05-04 |
| 1750616710 | Parisa Montazeri | Psychologist | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2009-10-08 |
| 1669601555 | Chrystal Jean Monigold | Nurse Practitioner | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2009-07-13 |
| 1346431822 | Abel Marcos Jurkowicz | Psychiatry & Neurology | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2007-08-08 |
| 1134264591 | Sinisa Marko Trbovic | Psychiatry & Neurology | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2007-02-21 |
| 1457459034 | Judith Ann Reynolds | Nurse Practitioner | 1602 Sw 82nd St, Southwestern Beh Hlth Ctr, Lawton, OK 73505-9012 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073877460 | Etta Evans | Nurse Practitioner | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1154976033 | Mindful Psychiatric Consulting LLC | Nurse Practitioner | 1700 Nw 174th St, Edmond, OK 73012-6963 | 2019-08-07 |
| 1811555154 | Pamela Jean Davies-jones | Nurse Practitioner | 3905 Brunswick Ln, Norman, OK 73072-1759 | 2019-06-02 |
| 1568920213 | Shannon Marie Rakowski | Nurse Practitioner | 2770 Washington Dr Ste 100, Norman, OK 73069-1016 | 2019-03-12 |
| 1346725595 | Elisabeth Mustachia | Nurse Practitioner | 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035 | 2018-10-03 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1881141000 | Elizabeth Muburi | Nurse Practitioner | 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 | 2016-09-06 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1649639550 | Jane M Harmon Dnp,rn,pmhnp-bc,pllc | Nurse Practitioner | 305 Dogwood Ct, Broken Bow, OK 74728-6118 | 2016-02-19 |
| 1902248123 | Satera Nicole Washington | Nurse Practitioner | 18308 Willow Oak Ln, Edmond, OK 73012-4042 | 2013-07-29 |
| 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.