MIJA STOWE (NPI# 1063789709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
107 S HIGH ST |
City | ANTLERS |
State | OK |
Zip Code | 74523-3818 |
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 |
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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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
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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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.