MR. CHRISTOPHER RYAN JOLLEY (NPI# 1124262076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124262076 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER RYAN JOLLEY |
| Credential | RN |
| Practice Address |
2307 Gordon Cooper Dr Shawnee OK 74801-9007 |
| Mailing Address |
25 Chickasaw Dr Shawnee OK 74801-5549 |
| Practice Telephone | 4053959303 |
| Practice Fax Number | 4053959305 |
| Mailing Telephone | 4053959303 |
| Mailing Fax Number | 4053959305 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
D6268723 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563365 | Christopher D Jolley | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-07 |
| Street Address |
2307 GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752503 | Kent H Potts | Internal Medicine | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2005-10-04 |
| 1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
| 1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
| 1265063960 | Stephanie Alvillar | Nurse Practitioner | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-31 |
| 1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
| 1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
| 1356997423 | Christina Marie Trout | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-14 |
| 1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
| 1891251575 | Monica Jinkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-02-18 |
| 1700351392 | Shelby Janae Parsons | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-10-10 |
| 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 | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174552095 | Myra Bess Mckiddy | Registered Nurse | 2307 South Gordon Cooper Drive, Citizen Potawatomi Nation/firelake Wellness Center, Shawnee, OK 74801 | 2006-07-02 |
| 1730117995 | Kimberly Dawan Williams | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2006-06-28 |
| 1063449668 | Cynthia Schoolmeyer-peltier | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475799 | Cayla Mitchell | Registered Nurse | 310 N M St, Hugo, OK 74743-1852 | 2018-11-09 |
| 1922417674 | Brenda Davis | Registered Nurse | 105365 South Hwy 102, Mcloud, OK 74851 | 2014-08-07 |
| 1528478518 | Connie Marie Christy | Registered Nurse | 8083 County Road 1460, Ada, OK 74820-0554 | 2014-04-30 |
| 1053649582 | Daphne Dinsmore | Registered Nurse | 1265 S Utica Ave Ste 100, Tulsa, OK 74104-4243 | 2009-11-20 |
| 1356677157 | Joan Marie Mccleary | Registered Nurse | 1265 Utica Ave., Ste. 100n, Tulsa, OK 74104-4090 | 2009-10-29 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1154477057 | Marlene S Snow | Registered Nurse | 18433 Sierra Ln, Newalla, OK 74857-8449 | 2007-01-25 |
| 1700997913 | Diana Sue Feathers | Registered Nurse | 200 White Eagle Drive, Ponca City, OK 74601 | 2006-08-31 |
| 1538121389 | Kristi Renee Fleming | Registered Nurse | 2212 S Ironwood Ave, Broken Arrow, OK 74012-7653 | 2006-04-05 |
| 1295369247 | William Kelly Mckeever | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
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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.