JONATHAN MICHAEL HOLBROOK (NPI# 1114549656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114549656 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL HOLBROOK |
| Practice Address |
6963 E 15th Pl Apt 239 Tulsa OK 74112-7410 |
| Practice Telephone | 9184023220 |
| Mailing Telephone | 9184023220 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2323 S Harvard Ave, Tulsa, OK 741143301 | 9182932140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710307384 | Jonathan Holbrook | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2014-04-22 |
| Street Address |
6963 E 15TH PL APT 239 |
| City | TULSA |
| State | OK |
| Zip Code | 74112-7410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1598121063 | All American Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 8740 E 11th St, Suite B, Tulsa, OK 74112 | 2016-01-13 |
| 1619341229 | Mauricia Stokes | Social Worker | 2325 S. Harvard Ave, Tulsa, OKLAHOMA 74112 | 2015-11-19 |
| 1053711762 | Montanta Cummings | Case Manager/Care Coordinator | 1901 S 68th E Ave, Apt 112b, Tulsa, OK 74112 | 2014-08-29 |
| 1134439862 | Janet Augerhole | Speech-Language Pathologist | 1724 S. Harvard Ave, Tulsa, OK 74112 | 2010-10-15 |
| 1457517872 | Palmer Continuum of Care | Community/Behavioral Health | 711 S. Sheridan Rd., Tulsa, OK 74112 | 2008-08-05 |
| 1386767820 | Tanya Jolene Skotarek Tuffour | Counselor | 501 S. Pittsburg Ave, Tulsa, OK 74112 | 2007-04-09 |
| 1376655860 | Gerald D Chicoine | Chiropractor | 3739 E 11th St, Tulsa, OK 74112 | 2006-08-31 |
| 1780791590 | Mark A Smalley | Social Worker | 3712 E 11th Street, Tulsa, OK 74112 | 2006-08-25 |
| 1841717311 | Kenneth I Fields IIi | Pharmacist | 6336 E 4th Pl, Tulsa, OK 74112 | 2017-08-25 |
| Find all providers in zip 74112 | ||||
| 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 |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1790305175 | Misti Rogers | Peer Specialist | 6120 S Madison Pl Apt B, Tulsa, OK 74136-1375 | 2020-04-25 |
| 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.