KYLE RAY HANKINS (NPI# 1063977395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063977395 |
| Entity Type | Individual |
| Full Name | KYLE RAY HANKINS |
| Practice Address |
313 E Edwards St Edmond OK 73034-4528 |
| Practice Telephone | 5803093008 |
| Mailing Telephone | 5803093008 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
313 E EDWARDS ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1679184717 | Sacy Stegall | Peer Specialist | 2902 Amanda Dr, Edmond, OK 73034-8971 | 2020-08-12 |
| 1225656309 | Preston Rody | Peer Specialist | 17861 Prairie Sky Way, Edmond, OK 73012-6628 | 2020-07-06 |
| 1730704156 | Ace Parchami | Peer Specialist | 4128 Nw 155th St, Edmond, OK 73013-9139 | 2020-06-11 |
| 1912568460 | Amber Peitzmeier | Peer Specialist | 16009 Katie Ridge Dr, Edmond, OK 73013-1498 | 2019-06-25 |
| 1326601683 | Raymond N Baker | Peer Specialist | 2309 Tuscan Ln, Edmond, OK 73034-6985 | 2019-04-22 |
| 1851859185 | Tessa Ranae Linn | Peer Specialist | 21918 Douglas Ave, Edmond, OK 73012-3218 | 2019-03-05 |
| 1275006975 | Brady Reynolds | Peer Specialist | 1301 Shalamar Rd, Edmond, OK 73013-6026 | 2019-01-04 |
| 1548731789 | Michael Lacy | Peer Specialist | 4104 Shiloh Valley Rd, Edmond, OK 73034-6912 | 2018-12-16 |
| 1073084554 | Benjamin Ortiz | Peer Specialist | 1920 E 2nd St Apt 2714, Edmond, OK 73034-6379 | 2018-12-10 |
| Find all providers in EDMOND | ||||
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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.