LISHA RYANNE PORCH-PETITT (NPI# 1104054147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104054147 |
| Entity Type | Individual |
| Full Name | LISHA RYANNE PORCH-PETITT |
| Credential | CNS |
| Practice Address |
2000 S Wheeling Ave Ste 200 Tulsa OK 74104-5649 |
| Mailing Address |
1515 N Harvard Ave Ste E Tulsa OK 74115-4957 |
| Practice Telephone | 9187487854 |
| Practice Fax Number | 9182933116 |
| Mailing Telephone | 9188326049 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 0058269 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 S WHEELING AVE STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627325 | Robert L. Cossman | Internal Medicine | 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104-5648 | 2005-05-23 |
| 1740666015 | Jay Williamson Do PC | Obstetrics & Gynecology | 2000 S Wheeling Ave, Ste. 700, Tulsa, OK 74104 | 2015-08-10 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1013314715 | Laura Kerr | Physician Assistant | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2014-11-24 |
| 1093157562 | Vanessa Erin Bennett | Optometrist | 2000 S Wheeling Ave, Ste 1010, Tulsa, OK 74104-5649 | 2013-07-24 |
| 1225320328 | Claire Lukeman Mattocks | Pediatrics | 2000 S Wheeling Ave, Suite 300, Tulsa, OK 74104-5649 | 2011-05-07 |
| 1497046437 | Eric Gregory | Physician Assistant | 2000 S Wheeling Ave, Tulsa, OK 74104-5649 | 2011-04-25 |
| 1396049086 | Kelsey D Wilkins | Physician Assistant | 2000 S Wheeling Ave, Ste 100, Tulsa, OK 74104-5649 | 2011-01-10 |
| 1174824304 | Tulsa Pain Consultants, Inc. | Pain Medicine | 2000 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5649 | 2010-11-04 |
| 1174836241 | Marc A Goldberg Md PC | Eyewear Supplier (Equipment, not the service) | 2000 S Wheeling Ave, Suite 1010, Tulsa, OK 74104-5649 | 2010-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842848 | Integrated Care Professionals of Oklahoma, LLC | Clinical Nurse Specialist | 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 | 2020-08-17 |
| 1811968977 | Veronica Lynn Wells | Clinical Nurse Specialist | 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 | 2006-01-27 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1356828594 | Andrea Diane Willibey | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1437670585 | Lauren E Stegemann | Clinical Nurse Specialist | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2017-06-29 |
| 1043686868 | Kristin Mariah Pruitt | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2015-08-16 |
| 1376967299 | Lindsey Remmert | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2014-02-12 |
| 1093151169 | Lisa Kay Lee | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2013-05-16 |
| 1457618613 | Kristy Kay Martin | Clinical Nurse Specialist | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2012-04-12 |
| Find all providers in TULSA | ||||
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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.