RENEE LYNN GARUCCIO (NPI# 1073159281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073159281 |
| Entity Type | Individual |
| Full Name | RENEE LYNN GARUCCIO |
| Other Name | RENEE LYNN VINA |
| Practice Address |
101 N Union Ave Shawnee OK 74801-7067 |
| Mailing Address |
4400 N Lincoln Blvd Oklahoma City OK 73105-5108 |
| Practice Telephone | 4052757100 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| 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 |
| Street Address |
101 N UNION AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437273026 | Rachel Jane Lam | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2007-03-19 |
| 1780285734 | Beth Cabe | Community Health Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-11-05 |
| 1124635719 | Andrew Jacob Whalen | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-09-28 |
| 1710592746 | Kyle Lane Stokes | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2020-09-15 |
| 1023656675 | Amanda Rose Gresham | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-12-13 |
| 1720620446 | Alejandra Martinez | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-10-15 |
| 1194372003 | Hannah K Handy | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-08-26 |
| 1437701943 | Kimberly Ann Bradley | Case Manager/Care Coordinator | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-07-15 |
| 1790346641 | Shaya Leigh Harris | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-06-21 |
| 1871153486 | Cheyenne Potter | Counselor | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1700404415 | Connor Blaine Rutherford | Student in an Organized Health Care Education/Training Program | 1808 Lantana Ct, Shawnee, OK 74804-3209 | 2020-07-09 |
| 1730714155 | Sheena Jo Coleman | Student in an Organized Health Care Education/Training Program | 6018 Marion St, Shawnee, KS 66218-9254 | 2020-03-05 |
| 1215568589 | Bhupinderjit Kaur Ballagan | Student in an Organized Health Care Education/Training Program | 5112 Meadow Height Dr, Shawnee, KS 66226-2291 | 2020-01-27 |
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1235663444 | Nida Hameedi | Student in an Organized Health Care Education/Training Program | 9423 Sunray Dr, Shawnee, KS 66227-2822 | 2017-04-13 |
| 1467804815 | Kaitlyn Anne Heffernon | Student in an Organized Health Care Education/Training Program | 5114 Aminda St, Shawnee, KS 66226-2682 | 2016-07-11 |
| 1942674320 | Carlos Monteagudo | Student in an Organized Health Care Education/Training Program | 21322 W 55th Ter, Shawnee, KS 66218-9375 | 2015-11-22 |
| 1376048389 | Heather Elise Timm | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2018-03-30 |
| 1619403516 | Darian English | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-05-11 |
| 1992151245 | Margaret Mary Houting | Student in an Organized Health Care Education/Training Program | 21620 Midland Dr, Shawnee, KS 66218-9064 | 2016-05-05 |
| Find all providers in SHAWNEE | ||||
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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.