MR. ALAN KEITH WILCOXSON (NPI# 1114569738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114569738 |
| Entity Type | Individual |
| Full Name | MR. ALAN KEITH WILCOXSON |
| Practice Address |
1801 Blackard Ln Ponca City OK 74604-3512 |
| Practice Telephone | 4057146010 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1801 BLACKARD LN |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74604-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316960 | Kathryn L Nipper | Registered Nurse | Jane Morris, 13 Hillcrest Dr, Ponca City, OK 74604 | 2019-09-26 |
| 1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
| 1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
| 1154657948 | Limb Salvage International, Inc | General Practice | 2210 N 14th St, Ponca City, OK 74604 | 2009-10-29 |
| 1124150305 | Scott Thomas Kirkpatrick Sr. | Chiropractor | 1916 Lake Road, Ponca City, OK 74604 | 2007-03-12 |
| 1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
| 1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
| 1013217462 | Laura Anne Peitz | Counselor | 3415 Meadow Ln, Ponca City, OK 74604-1318 | 2010-11-01 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1073881314 | Triad Family Chiropractic, LLC | Chiropractor | 3004 Turner St, Ponca City, OK 74604-1512 | 2011-12-01 |
| Find all providers in zip 74604 | ||||
| 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 |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1497393243 | Amy Dawn Smith | Peer Specialist | 1713 Clarke St, Ponca City, OK 74601-2912 | 2019-12-11 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1437691268 | Kathy Mitchell | Peer Specialist | 332 S Osage St Apt 1, Ponca City, OK 74601-5143 | 2016-11-10 |
| 1114550779 | Edgar Garcia | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2020-02-21 |
| 1558993519 | Brandy Michelle Musgrove | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1536 | 2020-02-07 |
| 1689214165 | Linda Yvonne Winter | Peer Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2020-01-13 |
| 1134774052 | Shaleen Fay Colton | Peer Specialist | 110 N 4th St, Ponca City, OK 74601-4527 | 2019-08-07 |
| 1417445511 | Kristopher Lee Butler | Peer Specialist | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2018-04-25 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74604 |
Please comment or provide details below to improve the information on MR. ALAN KEITH WILCOXSON.
| 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.