REGINA PFAFF (NPI# 1124544580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124544580 |
| Entity Type | Individual |
| Full Name | REGINA PFAFF |
| Practice Address |
1680 S. Greathouse Drive Atoka OK 74525 |
| Mailing Address |
1390 S Greathouse Drive Atoka OK 74525 |
| Practice Telephone | 5808893553 |
| Practice Fax Number | 5808894050 |
| Mailing Telephone | 5808893553 |
| Mailing Fax Number | 5808894050 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100683770A | 05 |
| Street Address |
1680 S. GREATHOUSE DRIVE |
| City | ATOKA |
| State | OK |
| Zip Code | 74525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| 1134534696 | Shane Ethan Orr | Student in an Organized Health Care Education/Training Program | 706 S Greathouse Dr, Atoka, OK 74525 | 2014-06-24 |
| Find all providers in zip 74525 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861176 | Dustin Ray Cochran | Student in an Organized Health Care Education/Training Program | 5750 E Bruno Rd, Atoka, OK 74525-4287 | 2020-05-04 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1730561135 | Marisa Hamilton | Student in an Organized Health Care Education/Training Program | 800 S Greathouse Dr, Atoka, OK 74525-3431 | 2015-06-22 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1134534696 | Shane Ethan Orr | Student in an Organized Health Care Education/Training Program | 706 S Greathouse Dr, Atoka, OK 74525 | 2014-06-24 |
| 1972076040 | Krista Beth Viss | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2019-01-10 |
| 1619349776 | Tiffany Torres | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-10-28 |
| 1780056200 | Tracy Del Angel Isenberg | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-10-23 |
| Find all providers in ATOKA | ||||
Please comment or provide details below to improve the information on REGINA PFAFF.
| 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.