MIJA STOWE


Address: 107 S High St, Antlers, OK 74523-3818
Phone: 5802982830

MIJA STOWE (NPI# 1063789709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063789709
Entity Type Individual
Full Name MIJA STOWE
Practice Address 107 S High St
Antlers
OK 74523-3818
Mailing Address Po Box 1030
Antlers
OK 74523-1030
Practice Telephone 5802982830
Mailing Telephone 5802982830
Enumeration Date 2011-11-23
Last Update Date 2013-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 107 S HIGH ST
City ANTLERS
State OK
Zip Code 74523-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033165667 Mfi Enterprises Dba Couseling Center of Se Oklahoma Counselor 107 S High St, Antlers, OK 74523-3818 2006-05-25
1427535707 Misty Trent Peer Specialist 107 S High St, Antlers, OK 74523-3818 2018-07-19
1437644218 Nikki Nichole Merker Clinic/Center 107 S High St, Antlers, OK 74523-3818 2018-06-25
1073007258 Stephanie Hampton Health Educator 107 S High St, Antlers, OK 74523-3818 2018-06-20
1134627524 Jasmine Amoni Dirks Case Manager/Care Coordinator 107 S High St, Antlers, OK 74523-3818 2018-01-31
1154839892 Amanda Renee Mckitrick Case Manager/Care Coordinator 107 S High St, Antlers, OK 74523-3818 2018-01-16
1942715198 Shanna Peretta Thompson Specialist 107 S High St, Antlers, OK 74523-3818 2017-12-11
1619412343 Daryl Allen Mitchell Social Worker 107 S High St, Antlers, OK 74523-3818 2017-01-04
1831634203 Desiree Meredith-menchaca Case Manager/Care Coordinator 107 S High St, Antlers, OK 74523-3818 2016-12-21
1124560610 Deidra Dewitt I Counselor 107 S High St, Antlers, OK 74523-3818 2016-11-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942793351 Terry Jean Draper Nurse Practitioner 416020 E 1951 Rd, Antlers, OK 74523 2018-06-11
1134628456 Breiana Jacobs Case Manager/Care Coordinator 107 South High St, Antlers, OK 74523 2018-02-02
1174072482 Crossroads 1010 LLC Community/Behavioral Health 193908 Us Hwy 271, Antlers, OK 74523 2016-09-27
1700277092 Katherine Jill Maple Registered Nurse 506 Hwy 271 North, Antlers, OK 74523 2015-02-09
1366884975 Jessica L. Rowan Speech-Language Pathologist 426297 State Highway 3, Antlers, OK 74523 2013-07-24
1235432444 Charis Kay Griffin Psychologist 903 West Main St., Antlers, OK 74523 2010-12-09
1629213889 Hometown Quality Care, Inc Home Health 191475 N 4140 Rd Ste 3, Antlers, OK 74523 2008-12-02
1841491214 Zen Gee Counseling & Psychological Serv LLC Community/Behavioral Health 608 Highway 271 North, Antlers, OK 74523 2007-05-31
1376689422 Marcia Leigh Armstrong Counselor 608 Hwy 271 North, Antlers, OK 74523 2007-01-29
1831247691 Chance J Lawless Dentist 412 N Hwy 271, Antlers, OK 74523 2007-01-08
Find all providers in zip 74523

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366419871 Antlers Public Schools Student in an Organized Health Care Education/Training Program 219 Ne A St, Antlers, OK 74523-3241 2006-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104427897 Cody Tyson Whatley Student in an Organized Health Care Education/Training Program 8725 Anaum Ln, Yukon, OK 73099-3868 2020-11-08
1366043044 Marielle Crowell Student in an Organized Health Care Education/Training Program 700 Nw 51st St, Oklahoma City, OK 73118-6216 2020-11-08
1801497672 Colton Want Student in an Organized Health Care Education/Training Program 833 San Simeon Dr, Edmond, OK 73003-5943 2020-11-06
1952902736 Brandon Talaro Schmidt Student in an Organized Health Care Education/Training Program 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 2020-11-06
1710588694 Hayden Mackenzie Bryan Student in an Organized Health Care Education/Training Program 1425 Nw 29th St, Oklahoma City, OK 73106-3433 2020-11-05
1548861560 Cruz Mccarty Student in an Organized Health Care Education/Training Program 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 2020-11-05
1114528247 Bradley Taylor Student in an Organized Health Care Education/Training Program 808 Carter St Se, Ardmore, OK 73401-8524 2020-11-04
1700487279 Christopher Michael Hoover Student in an Organized Health Care Education/Training Program 1508 Ne 25th St, Moore, OK 73160-8992 2020-11-02
1063013530 Thomas Labarthe Student in an Organized Health Care Education/Training Program 2833 Nw 67th St, Oklahoma City, OK 73116-4612 2020-11-02
1255931739 Parker Grant Allan Student in an Organized Health Care Education/Training Program 5126 E 104th Pl, Tulsa, OK 74137-6082 2020-10-26
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Competitor

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City ANTLERS
Zip Code 74523

Improve Information

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Dataset Information

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.

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