JOHNNA PACKER (NPI# 1073848065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073848065 |
| Entity Type | Individual |
| Full Name | JOHNNA PACKER |
| Credential | PA |
| Practice Address |
17599 S Highway 88 Stabilization Center Claremore OK 74018-0801 |
| Mailing Address |
114 W Delaware Ave Nowata OK 74048-2601 |
| Practice Telephone | 9182731841 |
| Practice Fax Number | 9182731843 |
| Mailing Telephone | 9182731841 |
| Mailing Fax Number | 9182731843 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1854 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17599 S HIGHWAY 88 STABILIZATION CENTER |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74018-0801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073520102 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 17599 S Highway 88, Claremore, OK 74017-0801 | 2006-08-02 |
| 1194365031 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 17599 S Highway 88, Claremore, OK 74017-0801 | 2020-01-08 |
| 1396387403 | Jessica Depoe | Case Manager/Care Coordinator | 17599 S Highway 88, Claremore, OK 74017-0801 | 2019-10-09 |
| 1053810838 | Lauren Nicole Bahle | Nutritionist | 17599 S Highway 88, Claremore, OK 74017-0801 | 2018-02-07 |
| 1932617776 | Andrew Hooks | Nutritionist | 17599 S Highway 88, Claremore, OK 74017-0801 | 2018-01-15 |
| 1588171656 | Jeff Dutton | Peer Specialist | 17599 S Highway 88, Claremore, OK 74017-0801 | 2018-01-10 |
| 1003330747 | Virginia Elizabeth Geary | Case Manager/Care Coordinator | 17599 S Highway 88, Claremore, OK 74017-0801 | 2017-08-02 |
| 1497276810 | Mikayla Marie Navarro | Case Manager/Care Coordinator | 17599 S Highway 88, Claremore, OK 74017-0801 | 2017-07-06 |
| 1598206807 | Angellica Bains | Case Manager/Care Coordinator | 17599 S Highway 88, Claremore, OK 74017-0801 | 2017-03-20 |
| 1699217091 | Larry Smith | Peer Specialist | 17599 S Highway 88, Claremore, OK 74017-0801 | 2016-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306946371 | Pafford Ems of Oklahoma Inc | Ambulance | 817 N J M Davis Blvd, Claremore, OK 74018 | 2006-09-22 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467919886 | Elizabeth Lee | Physician Assistant | 9443 E Aspenwood Dr, Claremore, OK 74019-0832 | 2019-02-21 |
| 1073836235 | Curtis Ceasar Martinez | Physician Assistant | 201 E Will Rogers Blvd, Claremore, OK 74017-7452 | 2010-03-02 |
| 1154392702 | Tamme Marie Saffa | Physician Assistant | 17599 S Hwy 88, Glmhc, Claremore, OK 74017-0801 | 2006-01-31 |
| 1396739264 | Lee Ann Habben | Physician Assistant | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2005-09-07 |
| 1003271974 | Oklahoma Em-i Medical Services PC | Physician Assistant | 1202 N Muskogee Pl, Claremore, OK 74017-3058 | 2015-12-21 |
| 1992193676 | Samuel Isaac Bethea | Physician Assistant | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2015-01-02 |
| 1265839195 | Hhs Medical Services PC | Physician Assistant | 1202 N Muskogee Pl, Claremore, OK 74017-3058 | 2014-11-20 |
| 1790108132 | Kadilyn Hourigan | Physician Assistant | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2014-01-21 |
| 1730478298 | James Russell Utt | Physician Assistant | 1501 N Florence Ave, Ste 350, Claremore, OK 74017-3179 | 2011-04-05 |
| 1407914252 | Pauline Cia Dolton | Physician Assistant | 1910 S Falcon Ave, Claremore, OK 74019 | 2006-12-05 |
| Find all providers in CLAREMORE | ||||
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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.